探讨小儿消化性溃疡的临床特点及并发出血的临床治疗效果.docVIP

精品论文 参考文献 探讨小儿消化性溃疡的临床特点及并发出血的临床治疗效果 大庆油田总医院 163000 　　摘要：目的 研究分析小儿消化性溃疡的临床特点和并发性出血的治疗效果。方法 此次研究的对象是选择我院2009年1月~2014年2月小儿消化性溃疡并发出血患者92例，将其临床资料进行回顾性分析，并随机分为对照组42例，观察组50例，观察组采取中医学联合治疗，对照组单用西药治疗，对两组患者不良反应情况、停止出血时间、症状积分变化等指标进行对比分析。结果观察组停止出血使用时间、治疗后症状积分等都显著优于对照组，（P＜0.05）差异有统计学意义。观察组不良反应发生率为4%，显著低于对照组不良反应发生率为16.7%，（P＜0.05）差异有统计学意义。结论采取中西药联合治疗小儿消化性溃疡并发出血可降低不良反应发生率，缩短止血时间，值得临床进一步推广使用。 　　关键词：小儿消化性溃疡；不良反应；并发出血 　　Abstract：Objective To study the clinical characteristics of peptic ulcer in children and the therapeutic effect of complicated hemorrhage.The object of this research method is the choice of our hospital in January 2009 February ~2014 in children with peptic ulcer bleeding in 92 cases，the clinical data were retrospectively analyzed，and randomly divided into control group 42 cases，50 cases in the observation group，the observation group take TCM combination therapy，the control group only treated with Western medicine，the adverse reaction two groups of patients，stop the bleeding time，symptom score changes were compared.Results the observation group was significantly better than the control group（P lt; 0.05），and the difference was statistically significant between the treatment group and the control group.The incidence of adverse reactions in the observation group was 4%，significantly lower than that of the control group，the incidence of adverse reactions was 16.7%（P lt; 0.05），the difference was statistically significant.Conclusion the combination of Chinese and Western medicine in treatment of peptic ulcer complicated with hemorrhage can reduce the incidence of adverse reactions，shorten the bleeding time，it is worthy of further clinical application. 　　Key words：peptic ulcer in children；adverse reaction；concurrent hemorrhage 　　小儿消化性溃疡是小儿常见病，其大多为应激性溃疡，发病患儿大多为11岁以下[1]。 小儿消化性溃疡诊断较为困难，无法采取胃液分析方式，导致早期诊断困难。临床表现为小儿拒食、哭闹，经发展后形成呕吐、便血等情况，症状进一步恶化后，还会并发出血，是小儿消化性溃疡极为严重的并发症，因其治疗特殊，对小儿消化性溃疡加强了解，对小儿消化性溃疡并发出血的治疗有显著意义。 　　1资料与方法 　　1.1一般资料 选择2009年1月~2014年2月小儿消化性溃疡并发出血患者92例为研究对象，男性65例，女性27例，年