急诊内镜下止血联合生长抑素治疗35例上消化道出血临床分析.docVIP

急诊内镜下止血联合生长抑素治疗35例上消化道出血临床分析 　　【摘要】目的: 探讨急诊内镜下止血联合生长抑素治疗上消化道出血的临床疗效。方法: 选取我院于2010年2月-2012年4月间收治的上消化道出血患者70例，将其随机分为两组，对照组35例，予常规治疗方法，观察组35例，在常规治疗的基础上给予急诊内镜下止血联合生长抑素治疗。比较两组患者治疗的临床疗效、住院时间及再出血率。结果: 观察组治疗总有效率高达97.1%，对照组为77.1%，两组比较差异具有统计学意义，（P0.05），观察组住院时间及再出血率与对照组比较也有明显差异，两组比较差异亦具有统计学意义，（P0.01）。结论: 急诊内镜下止血联合生长抑素治疗上消化道出血疗效确切，可明显缩短住院时间，降低再出血率，值得临床推广。 　　【关键词】急诊内镜；上消化道出血；生长抑素 　　Abstract：objective: to study the emergency endoscopic hemostasis combined somatostatin clinical curative effect for the treatment of upper gastrointestinal bleeding. Selection methods: our hospital in February 2010 - April 2012 70 patients with upper gastrointestinal bleeding were randomly divided into two groups, control group 35 cases, to the conventional treatment method, the observation group of 35 cases, on the basis of conventional treatment for emergency endoscopic hemostasis with somatostatin therapy. Compare the clinical efficacy of two groups of patients, the length of time and bleeding rate again. Results: the observation of treatment group total effectiveness 97.1%, control group was 77.1%, are similar between the two groups have statistical significance (P 0.05), the observation group hospitalization time and bleeding rate again also have obvious difference compared with controls, comparative differences are statistically significant in both groups, (P 0.01). Conclusion: emergency endoscopic hemostasis combined somatostatin curative effect is treatment of upper gastrointestinal bleeding, can obviously shorten the length of hospital stay, reduce bleeding rate, worthy of clinical promotion. 　　Key words：the emergency endoscopy, upper gastrointestinal bleeding, somatostatin 　　【中图分类号】R4【文献标识码】A【文章编号】1671-8801（2014）06-0001-02 　　 　　 　　急性非静脉曲张性上消化道出血主要是指出血点位于屈氏韧带以上的消化道包括食管、胃及十二指肠等部位的出血[1]。临床表现有呕血、柏油样便，属临床常见病，上消化道大量出血可致使患者短时间内出血急性周围循环衰竭的临床症状，死亡率较高，早期正确诊断和治疗可有效提高抢救成功率[2]。本研究采用急诊内镜下止血联合生长抑素治疗上消化道出血，疗效满意，现将具体情况总结报道如下。 　　1资料与方法 　　1.1一般资料 　　选取我院于2010年3月-2012年5月间收治的上消化道出血患者70例，将其随机分为两组，观察组