内镜下食管静脉曲张套扎术治疗EVB的效果及安全性分析.docxVIP

? ? 内镜下食管静脉曲张套扎术治疗EVB的效果及安全性分析 ? ? 【Summary】目的：探讨内镜下食管静脉曲张套扎术治疗食管静脉曲张破裂出血（EVB）的效果及安全性。方法：选取本院收治的68例EVB患者，根据不同治疗方案将其分为两组各34例，对照组采用常规治疗，观察组在此基础上采用内镜下食管静脉曲张套扎术治疗，比较两组的治疗效果和安全性。结果：观察组输血量少于对照组，止血时间、住院时间短于对照组，总有效率(100.00%)高于对照组(82.35%)，再出血发生率(14.71%)低于对照组(38.24%)(P＜0.05)。结论：内镜下食管静脉曲张套扎术治疗EVB疗效显著，安全性良好。 【Keys】内镜；食管静脉曲张套扎术；食管静脉曲张破裂出血；安全性 Efficacy and safety analysis of endoscopic ligation of esophageal varices in the treatment of EVB 【Abstract】Objective: To investigate the effect and safety of endoscopic variceal ligation for the treatment of esophageal variceal bleeding (EVB). Methods: 68 patients with EVB admitted to this hospital were selected and pided into two groups of 34 patients according to different treatment plans. The control group received conventional treatment, and the observation group was treated with endoscopic variceal ligation on this basis. Comparison The treatment effect and safety of the two groups. Results: The amount of blood transfusion in the observation group was less than that in the control group, and the time to stop bleeding and hospital stay were shorter than those in the control group. The total effective rate (100.00%) was higher than that of the control group (82.35%), and the incidence of rebleeding (14.71%) was lower than that of the control group ( 38.24%) (P0.05). Conclusion: Endoscopic ligation of esophageal varices is effective and safe in the treatment of EVB. [Keywords] endoscopy; esophageal varices ligation; esophageal varices bleeding; safety 食管静脉曲张破裂出血（EVB）是肝硬化常见并发症类型之一，患者首次出血的病死率约为40～70%，严重威胁患者的生命安全[1]。当前多采用药物疗法治疗肝硬化并发EVB患者，但在较大血管破裂出血病例的治疗中，止血效果欠佳。随着医学技术的不断发展，内镜下食管静脉曲张套扎术成为了治疗EVB的可行方案，可通过中断曲张静脉血流的途径达到止血目的。为了探讨行之有效的治疗方案，本文就内镜下食管静脉曲张套扎术治疗EVB的效果及安全性进行了探索。 1资料与方法 1.1一般资料 选取医院2017年6月至2019年6月收治的EVB患者68例，回顾性分析患者的临床资料。纳入标准：①符合EVB的诊断标准[2]，经胃镜检查明确诊断；②发病至入院时间＜24h。剔除标准：①血液系统疾病；②妊娠或哺乳期女性；③入院前接受过其他治疗；④恶性肿瘤；⑤3个月内服用过抗凝药物；⑥临床资料缺失病例。根据不同治疗方案将其分成两组，每组34例。观察组男20例，女14例；年龄21～74岁，平均(47.52±7.81)岁。对照组男19例，女15例；年龄21～73岁，平均(47.83±7.26)岁。上述数据保持同质性。 1