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目的探讨内镜治疗上消化道出血的临床效果。方法选取上消化道出血的140例患者,将患者随机分成4组,采用不同的止血方法治疗患者,氩气刀组、注射组、钛夹组、喷洒组各35例。对比4组的止血效果。结果氩气刀组、注射组、钛夹组、喷洒组4组最终的治疗有效率分别为97.1%、80%、80%、82.9%,组间数据对比可看出,氩气刀组的治疗效果显著优于其他3组,氩气刀组和注射组的再次出血率显著低于喷洒组、钛夹组。氩气刀组的患者满意度显著高于其他3组。氩气刀组与其他3组以上指标差异均存在统计学意义(P<0.05)。结论内镜下采用氩气刀治疗上消化道出血患者的再次出血率低,疗效显著,值得推广。
Objective To investigate the clinical effect of endoscopic treatment of upper gastrointestinal bleeding. Methods A total of 140 patients with upper gastrointestinal bleeding were enrolled. Patients were randomly divided into 4 groups. Each group was treated with different hemostatic methods, and 35 patients in each group were treated with argon knife, injection group, titanium clamp group and spraying group. Compare the hemostatic effect of 4 groups. Results The final treatment efficiencies of argon knife group, injection group, titanium clamp group and spraying group were 97.1%, 80%, 80% and 82.9% respectively. Comparing the data between groups, it can be seen that the treatment of argon knife group The effect was significantly better than the other three groups, Argon knife group and injection group re-bleeding rate was significantly lower than spraying group, titanium clip group. Argon knife satisfaction was significantly higher than the other three groups. Argon gas knife group and other three groups of more than the differences were statistically significant (P <0.05). Conclusion Endoscopic argon knife treatment of upper gastrointestinal bleeding in patients with rebleeding rate is low, the effect is significant, it is worth promoting.