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目的:研究中药联合西药治疗门脉高压上消化道出血患者的效果及不良反应。方法:选取该院2011年6月—2014年6月接诊的66例门脉高压上消化道出血患者为研究对象,随机分为对照组和观察组,各33例。对照组采用常规西药治疗,观察组则采用中药联合西药治疗。调查分析两组患者治疗后止血时间,不良反应情况及复发情况,并评定两组患者的疗效。结果:对照组治疗总有效率为72.73%,观察组治疗总有效率为90.91%,两组比较差异具有统计学意义(P<0.05)。观察组止血时间明显短于对照组,两组比较差异具有统计学意义(P<0.05)。对照组不良反应率及复发率均明显高于观察组,两组差异比较具有统计学意义(P<0.05)。结论:中药联合西药治疗门脉高压上消化道出血患者,临床疗效良好,不良反应率低,值得临床推广应用。
Objective: To study the effect and side effects of traditional Chinese medicine combined with western medicine in the treatment of patients with portal hypertension and upper gastrointestinal bleeding. Methods: Sixty-six cases of portal hypertension patients with upper gastrointestinal bleeding admitted from June 2011 to June 2014 in our hospital were selected and randomly divided into control group and observation group, with 33 cases in each group. The control group was treated with conventional western medicine while the observation group was treated with traditional Chinese medicine combined with western medicine. Investigation and analysis of two groups of patients after treatment, bleeding time, adverse reactions and recurrence, and to assess the efficacy of two groups of patients. Results: The total effective rate of the control group was 72.73%, the total effective rate of the observation group was 90.91%, the difference between the two groups was statistically significant (P <0.05). The observation group bleeding time was significantly shorter than the control group, the difference between the two groups was statistically significant (P <0.05). The adverse reaction rate and recurrence rate of the control group were significantly higher than the observation group, the difference between the two groups was statistically significant (P <0.05). Conclusion: Chinese medicine combined with western medicine in the treatment of portal hypertension in patients with upper gastrointestinal bleeding, good clinical efficacy, low adverse reactions, it is worthy of clinical application.