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目的观察内镜下金属钛夹止血治疗急性上消化道大出血的临床效果,为临床医生治疗急性上消化道大出血提供新的思路。方法选择2013年9月—2014年9月来濮阳市人民医院治疗急性上消化道大出血的患者142例,随机将其分成对照组和治疗组,每组各71例。对照组采用内镜下注射肾上腺素治疗,治疗组采用内镜下金属钛夹止血治疗,观察两组患者治疗效果。结果治疗组不同时段止血效果均明显优于对照组,疗效明显高于对照组,各项指标改善时间均明显优于对照组,差异均有统计学意义(P<0.05)。结论对急性上消化道大出血患者采用内镜下金属钛夹止血治疗效果明显,能有效的提高止血效果,缩短临床症状改善时间,无严重并发症,可推广应用。
Objective To observe the clinical effect of endoscopic titanium clip in the treatment of acute upper gastrointestinal bleeding for clinicians to provide a new idea for the treatment of acute upper gastrointestinal bleeding. Methods From September 2013 to September 2014, 142 cases of acute upper gastrointestinal bleeding in Puyang People’s Hospital were randomly divided into control group and treatment group, with 71 cases in each group. In the control group, endoscopic injection of epinephrine was used. In the treatment group, endoscopic titanium clips were used to stop the bleeding. The therapeutic effect was observed in both groups. Results The hemostatic effect of the treatment group was significantly better than that of the control group at different time points, and the curative effect was obviously higher than that of the control group. The improvement time of each index was obviously better than that of the control group. The difference was statistically significant (P <0.05). Conclusion The treatment of acute upper gastrointestinal bleeding with endoscopic titanium clip to stop bleeding is effective, which can effectively improve the hemostatic effect, shorten the time to improve clinical symptoms, no serious complications and can be popularized and applied.