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目的观察醋酸奥曲肽(8肽)联合泮妥拉唑钠在肝硬化静脉曲张破裂出血止血治疗中的效果。方法将96例肝硬化并上消化道出血患者,分为A组(奥曲肽和奥美拉唑联合治疗,32例)和B组(单用奥曲肽治疗,32例),C组(单用泮托拉唑钠治疗)观察相关指标。结果 A组32例中治愈30例,治愈率93.7%,平均止血时间(12.5±9)h。B组32例中治愈24例,治愈率75%,平均止血时间(20.2±7)h。C组32例中治愈14例,治愈率43.7%,平均止血时间(33.8±7)h。A组治愈率较B、C组均高。A组止血时间较B、C组均明显缩短。结论联合应用奥曲肽和奥美拉唑治疗肝硬化上消化道出血止血迅速、治愈率高。
Objective To observe the effect of octreotide acetate (8 peptide) combined with pantoprazole sodium in the treatment of hepatic cirrhosis with variceal hemorrhage. Methods A total of 96 patients with cirrhosis and upper gastrointestinal bleeding were divided into two groups: group A (32 patients with octreotide and omeprazole), group B (32 patients treated with octreotide alone), group C Razao sodium treatment) to observe the relevant indicators. Results A group of 32 patients cured 30 cases, the cure rate was 93.7%, the average bleeding time (12.5 ± 9) h. In group B, 24 cases were cured in 32 cases, the cure rate was 75% and the average hemostasis time was (20.2 ± 7) h. In group C, 14 cases were cured in 32 cases, the cure rate was 43.7% and the average hemostasis time was 33.8 ± 7 h. Group A cure rate than B, C group were high. A group of bleeding time than B, C group were significantly shortened. Conclusion Combined application of octreotide and omeprazole in the treatment of cirrhosis of the upper gastrointestinal bleeding to stop bleeding quickly, the cure rate is high.