3种内镜下止血方法治疗非静脉曲张性消化道出血的疗效.docxVIP

3种内镜下止血方法治疗非静脉曲张性消化道出血的疗效 　　摘要目的：比较3种内镜下止血方法在治疗非静脉曲张性消化道出血中的临床疗效。方法：选取非静脉曲张性消化道出血患者120例，按照止血方法的不同分为a组（注射肾上腺素止血）、b组（高频电凝止血）、c组（钛夹止血）各40例，比较3组患者的临床疗效。结果：c组治疗后呕吐消失时间、肠鸣音恢復时间、粪便潜血转阴时间、引流管变清时间、平均住院时间比a、b组明显缩短；即时止血率、有效止血率明显优于a、b组；1周内再次出血率明显少于a、b组（p0.05）。结论：内镜下钛夹止血方法疗效最佳，可以明显改善患者临床症状及体征，而注射肾上腺素与高频电凝止血方法效果相当，建议非静脉曲张性消化道出血患者内镜下治疗以钛夹止血为首选。 　　关键词非静脉曲张性消化道出血钛夹止血肾上腺素高频电凝 　　中图分类号：r573.2文献标志码：a文章编号：1006-1533（2020）09-0050-03 　　acomparativestudyofthreeendoscopichemostasismethodsinthetreatmentofnon-varicealgastrointestinalbleeding* 　　lisonghu**，huangxianguang，linxiaodong 　　（departmentofgastroenterology，dongguankanghuahospital，guangdongdongguan523080，china） 　　abstractobjective：tocomparetheclinicalefficacyofthreeendoscopichemostasismethodsinthetreatmentofnonvaricealgastrointestinalbleeding.methods：onehundredandtwentypatientswithnon-varicealgastrointestinalhemorrhageweredividedintogroupa（adrenalineinjectionhemostasis），groupb（highfrequencyelectrocoagulationhemostasis），groupc（titaniumcliphemostasis）with40caseseachbasedonthedifferenthemostasismethods.theclinicaleffectswereobservedandcomparedamongthethreegroups.results：thetimesforvomitingdisappearance，intestinalsoundsrecovery，fecaloccultbloodnegativeconversion，drainagetubeclearanceandaveragehospitalizationweresignificantlyshorteringroupcthangroupaandb（p0.05）.theimmediatehemostasisrateandeffectivehemostasisrateweresignificantlybetterandthere-bleedingrateinaweekwassignificantlylessingroupcthangroupaandb（p0.05）.conclusion：endoscopictitaniumcliphemostasisisthebestmethodandcansignificantlyimproveclinicalsymptomsandsigns.theeffectofadrenalineinjectionissimilartohighfrequencycoagulationhemostasis.titaniumcliphemostasisshouldbetakenasthefirsttreatmentchoicewhenendoscopictreatmentofnonvaricealgastrointestinalhemorrhageisperformed. 　　keywordsnon-varicealgastrointestinalbleeding；titaniumcliphemostasis；adrenaline；highfrequencyelectrocoagulation 　　急性非静脉曲张性上消化道出血是临床常见的急腹症，起病急、重，还有再次出血的风险，若不能及时止血，严重者会导致死亡。多因静脉曲张以外因素所致屈氏