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目的:观察胃镜下喷洒大黄炭微粒对非静脉曲张性上消化道出血的临床疗效。方法:非静脉曲张性上消化道出血82例随机分为大黄炭微粒组和去甲肾上腺组(对照组),每组各41例,胃镜下观察两组平均止血时间和止血成功率以及术后呕血、黑便的次数。结果:治疗组平均止血时间较对照组明显减少(P<0.01),止血成功率明显提高(P<0.05)。治疗后平均呕血、黑便次数较对照组明显减少(P<0.05)。结论:胃镜下喷洒大典炭微粒治疗非静脉曲张性上消化道出血安全有效、费用低,值得进一步研究和推广。
Objective: To observe the clinical efficacy of endoscopy-sprayed rhubarb charcoal particles on non-variceal upper gastrointestinal bleeding. Methods: 82 cases of non-variceal upper gastrointestinal bleeding were randomly divided into rhubarb charcoal particle group and noradrenal gland group (control group), 41 cases in each group. The average hemostasis time and success rate of hemostasis in both groups were observed under endoscopy, Hematemesis, the number of melena. Results: The average hemostasis time of the treatment group was significantly lower than that of the control group (P <0.01), and the success rate of hemostasis was significantly improved (P <0.05). After treatment, the mean hematemesis and melena significantly decreased compared with the control group (P <0.05). Conclusion: It is safe and effective to treat non-variceal upper gastrointestinal bleeding under endoscopy with Dachang carbon particles, which is worth to further study and popularize.