论文部分内容阅读
探讨一种疗效好、可靠、副作用少、操作简单的内镜下止血方法。以高渗盐水立止血 (Hypertionicsalinepine reptilase ,HS R)内镜下注射治疗消化性溃疡出血患者 77例为治疗组 ,立即止血率 97.9% ,再出血率 2 .5 %。而对照组高渗盐水副肾素 (Hypertionicsaline epinephrine ,HS E)组立即止血率 87.9% ,再出血率 15 .2 % ;孟氏液 (Monsell,M )组立即止血率 81.4% ,再出血率 13 .9%。HS R组与两对照组止血时间分别为 3 .8± 0 .8分、4.95± 2 .3分、5 .5± 2 .4分。治疗组在止血时间、疗效、再出血率与对照组有显著性差异 (P <0 .0 1) ,两对照组间无显著性差异。治疗组疗效特点主要是对喷出性出血、流出性出血疗效优于对照组。HS R使用后未见明显药物副作用。内镜下注射HS R治疗消化性溃疡出血是一种设备简单、安全、有效的止血方法
To explore a good effect, reliable, less side effects, simple endoscopic hemostasis method. Totally 77 patients with peptic ulcer hemorrhage were treated by endoscopic injection of hypertonic saline (HS R). The rate of immediate hemostasis was 97.9% and the rate of rebleeding was 2.5%. In the control group, the rate of immediate hemostasis was 87.9% in the HSE group and 15.2% in the HSE group. The rate of immediate hemostasis was 81.4% and the rate of hemorrhage was 13% in the Monsell group .9%. HS R group and control group bleeding time were 3. .8 ± .8 points, 4.95 ± 2. .3 points, 5.5 ± 2. .4 points. There was significant difference between the two groups in the time of hemostasis, the curative effect and the rate of rebleeding in the treatment group (P <0.01). There was no significant difference between the two control groups. The efficacy of the treatment group is mainly characterized by ejection bleeding, outflow of bleeding is better than the control group. HS R no obvious side effects after use. Endoscopic HS R for the treatment of peptic ulcer bleeding is a simple, safe and effective method of hemostasis