急诊胃镜止血夹止血联合药物喷洒治疗溃疡性上消化道出血的疗效分析.pdfVIP

临床研究· 急诊胃镜止血夹止血联合药物喷洒治疗溃疡性 上消化道出血的疗效分析 钟德金 张瑜 厦门长庚医院消化内科，福建厦门361028 【摘要】目的分析急诊胃镜止血夹止血联合药物喷洒治疗溃疡性上消化道出血的疗效。方法选择2013年 1月～2014年12月收治的溃疡性上消化道出血患者160例，其中82例采取急诊胃镜止血夹止血联合药物喷洒 治疗，为观察组，78例单纯采取急诊胃镜止血夹止血治疗，为对照组，比较两组患者止血有效率，再出血率、转手 术率与平均止血时间、住院时间及治疗前后血压、血红蛋白(Hb)水平。结果(1)观察组治疗有效率为97．56％，高 0．05)。结论急诊胃镜止血夹止血联合药物喷洒治疗溃疡性上消化道出血疗效优于单纯止血夹止血。 【关键词】溃疡性上消化道出血；急诊胃镜；止血夹止血；药物喷洒 【中图分类号】R573．2 【文献标识码】B 【文章编号】1673—9701(2015)27—0056—03 of hemostatichemostasis Efficacyanalysis gastroscopic emergent clip combined、树th intreatmentofulcerous drugspray upper hemorrhage ZHONGZHANGYu Dejin of DepartmentGastroenterology，XiamenChanggengHospital，Xiamen361028，China To the of hemostatichemostasiscombinedwith [Abstract]Objective analyzeefficacyemergentgastroscopic clip drug inthe treatmentofulcerous Atotalof160 withulcerous spray uppergastrointestinalhemorrhage．Methodspatients treatedinour from 2013 toDecember2014were which uppergastrointestinalhemorrhage hospitalJanuary selected，of 82 were hemostatichemostasiscombinedwith patients givenemergentgastroscopic clip drugspray(observationgroup) and78 were hemostatic hemostatic patientsgivensimpleemergentgastroscopic cliphemostasis(controlgroup)．The rates，rebleeding transfer hemostasis of and and rates，surgeryrates，average time，lengthhospitalstay pretreatment blood and