套扎术联合奥曲肽奥美拉唑治疗食管静脉曲张破裂出血效果观察.docVIP

套扎术联合奥曲肽奥美拉唑治疗食管静脉曲张破裂出血效果观察 文档信息 属性： Doc-03D1AL，doc格式，正文6490字。质优实惠，欢迎下载！ 说明： 作为医药学资料、临床医学资料的写作参考资料，提供解决怎么写及格式等相关问题。 适用： 作为文章写作的参考文献，解决如何写好实用应用文、正确编写文案格式、内容摘取等相关工作。 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：套扎术联合奥曲肽奥美拉唑治疗食管静脉曲张破裂出血效果观察 2 1 资料与方法 3 2 结果 4 3 讨论 4 文2：奥美拉唑联合奥曲肽治疗非静脉曲张性上消化道出血的效果观察 6 1 资料与方法 6 1. 3 .观察指标及判定标准 7 2 结果 8 3 讨论 8 参考文摘引言： 9 原创性声明（模板） 10 文章致谢（模板） 11 正文 套扎术联合奥曲肽奥美拉唑治疗食管静脉曲张破裂出血效果观察 文1：套扎术联合奥曲肽奥美拉唑治疗食管静脉曲张破裂出血效果观察 Abstract: Objective To evaluate the short- and long-term efficacy of esophageal variceal ligation (EVL) in combination with Octreotide and Omeprazole for esophageal variceal bleeding (EVB). Methods 95 patients with acute upper digestive tract bleeding enrolled in this study were randomly pided into two groups， the therapeutic group received EVL in combination with intravenous Octreotide and Omeprazole; and the control group was given intravenous Octreotide and Omeprazole. The re-bleeding rate and incidence of portal hyperteion stomach diseases at different time points were recorded for both groups. Results On day15， and 1， 3， 6 months ， and 1 year after operation， the therapeutic group in re-bleeding rate was significantly lower than that in the control group (all P values )， esophageal varices relieved and portal hyperteion stomach diseases did not woen. Conclusion Esophageal variceal ligation in combination with Octreotide and Omeprazole can effectively decrease re-bleeding rate in EVB， ameliorate esophageal varices， and should be clinically recommended. Key words: esophageal variceal ligation; Octreotide; Omeprazole; esophageal varices 肝硬化门静脉高压引起的食管静脉曲张破裂是上消化道出血的常见原因，肝硬化患者首次发生上消化道出血病死率达到20%～40%［1］。发病时，病情凶险、出血量大、并发症多、复发率高、远期疗效差、病死率高。为提高患者远近期疗效，我们采用食管静脉套扎术（EVL）联合奥曲肽、奥美拉唑治疗食管静脉曲张破裂出血(EVB)55例，取得了较好疗效，现报道如下。 1 资料与方法 一般资料 本组95例病例为2004～2008年因上消化道出血住院治疗的肝硬化患者。肝炎后肝硬化50例，酒精性肝硬化30例，混合性肝硬化15例。全部病例均经Ｂ超或腹部CT确诊为肝硬化，并经胃镜证实系门脉高压性EVB。其中男60例，女35例；年龄17～73岁，平均45岁。肝功能按Child-pugh分级。全部病例随机分为两组，治疗组55例，采