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目的探讨消化内镜治疗上消化道出血的临床效果。方法 180例上消化道出血患者随机分为治疗组与对照组各90例。两组患者均给予胃镜检查证实,予心率、呼吸、血压、血氧、脉搏监护,低流量吸氧;禁食,洗胃,补充血容量,必要时输血,同时静脉注射奥美拉唑40mg/次,2次/d,共用7d。对照组采用8mg去甲肾上腺素及云南白药4克加水100ml口服,1次/h。治疗组采用消化内镜下选择药物局部注射,热凝止血和机械止血等方法止血。结果治疗组90例中显效79例(87.8%),有效8例(8.9%),无效3例(3.3%),总有效率96.7%。观察组90例中显效49例(54.4%),有效17例(18.9%),无效24例(26.7%),总有效率73.3%。治疗组总有效率高于观察组,差异有统计学意义(P<0.05)。结论消化内镜下止血治疗能缩短上消化道出血时间,减少出血量,提高止血成功率,是安全、方便、微创的方法,值得推广应用。
Objective To investigate the clinical effect of digestive endoscopy on upper gastrointestinal bleeding. Methods 180 cases of upper gastrointestinal bleeding were randomly divided into treatment group and control group of 90 cases. Both groups were given gastroscopy confirmed heart rate, respiration, blood pressure, blood oxygen, pulse monitoring, low flow oxygen; fasting, gastric lavage, blood volume replacement, transfusion if necessary, while intravenous omeprazole 40mg / Times, 2 times / d, sharing 7d. Control group using 8mg norepinephrine and Yunnanbaiyao 4 grams water 100ml orally, 1 time / h. The treatment group using digestive endoscopic selection of drugs local injection, thermal coagulation and mechanical hemostasis and other methods to stop bleeding. Results Among 90 cases in treatment group, 79 cases (87.8%) were markedly effective, 8 cases (8.9%) were effective, 3 cases (3.3%) were ineffective, and the total effective rate was 96.7%. In the observation group, 49 cases (54.4%) were markedly effective, 17 cases (18.9%) were effective, 24 cases (26.7%) were ineffective, and the total effective rate was 73.3%. The total effective rate of the treatment group was higher than that of the observation group, with a significant difference (P <0.05). Conclusion Digestive endoscopic hemostasis can shorten the time of upper gastrointestinal bleeding, reduce the amount of bleeding and improve the success rate of hemostasis. It is safe, convenient and minimally invasive and should be widely applied.