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目的观察奥曲肽联合硝酸甘油治疗肝硬化上消化道出血的疗效。方法肝硬化上消化道出血患者61例,奥曲肽联合硝酸甘油为治疗组38例,对照组23例用单一奥曲肽治疗。结果两组患者门静脉和脾静脉血流量及止血时间治疗前后比较,都有明显的效果,两组之间比较也有显著差别;治疗组总有效率为92.10%,对照组总有效率为65.22%。结论奥曲肽联合硝酸甘油治疗肝硬化上消化道出血比单一应用奥曲肽疗效更加显著。
Objective To observe the efficacy of octreotide combined with nitroglycerin in the treatment of upper gastrointestinal bleeding in cirrhosis. Methods 61 cases of cirrhosis patients with upper gastrointestinal bleeding, octreotide combined with nitroglycerin 38 cases of treatment group, 23 cases of control group with a single octreotide treatment. Results The portal vein and splenic vein blood flow and the time to stop bleeding in both groups before and after treatment had obvious effects. There was also a significant difference between the two groups. The total effective rate was 92.10% in the treatment group and 65.22% in the control group. Conclusion The combination of octreotide and nitroglycerin in the treatment of cirrhosis and upper gastrointestinal bleeding is more effective than the single application of octreotide.