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目的 :探讨奥曲肽联合奥美拉唑治疗上消化道出血的价值。方法 :收集近几年我院诊断为上消化道出血的患者,病因为消化性溃疡、糜烂性出血胃炎。主要表现为头晕、乏力、恶心、呕血、柏油样大便等。随机分为:研究组(基础治疗+奥曲肽+奥美拉唑)和对照组(基础治疗+奥美拉唑)。对比(1)两组治疗前、治疗24小时Blatchford评分。(2)两组治疗前、治疗24小时胃液PH值。结果 :两组治疗前Blatchford评分及胃液PH值比较无差异(P>0.05);两组治疗24小时Blatchford评分及胃液PH值比较有差异(P<0.05)。结论 :奥曲肽联合奥美拉唑治疗上消化道出血疗效肯定。
Objective: To investigate the value of octreotide combined with omeprazole in the treatment of upper gastrointestinal bleeding. Methods: In recent years, our hospital diagnosed as upper gastrointestinal bleeding in patients with peptic ulcer disease, erosive gastritis. Mainly for dizziness, fatigue, nausea, hematemesis, tarry stools and so on. Randomly divided into: study group (basic treatment + octreotide + omeprazole) and control group (basic treatment + omeprazole). (1) The Blatchford score was 24 h before treatment in both groups. (2) Before treatment, the PH value of gastric juice 24 hours after treatment. Results: There was no significant difference in Blatchford score and gastric juice PH value between the two groups before treatment (P> 0.05). There was significant difference in Blatchford score and gastric juice PH value between the two groups at 24 hours after treatment (P <0.05). Conclusion: The effect of octreotide combined with omeprazole on upper gastrointestinal bleeding is definite.