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经消化内镜治疗胃十二指肠出血的临床价值评述 被引量:8

The Clinical Value of Digestive Endoscopy in Treatment of Gastroduodenal Bleeding
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摘要 目的探索胃十二指肠出血患者应用消化内镜治疗的临床效果与特点,以提高治疗胃十二指肠出血患者的治疗水平,缓解患者的痛苦。方法研究对象是2013年5月—2014年9月期间从该院接收并治疗的胃十二指肠出血患者中随机性抽取的110例,分为对照和研究两组各55例。对照组患者应用注射止血法治疗,研究组患者在此治疗基础上加用氩离子凝固术(APC)治疗,对比两组临床效果和特点。结果研究组患者应用APC治疗后总有效率为93%,对照组患者应用注射止血治疗后的总有效率为82%,显然研究组APC治疗效果优于对照组(P<0.05);研究组治疗的总并发症发生率为11%明显低于对照组总并发症发生率27%,且对照组再出血率明显高于研究组,两组数据存在较大差异(P<0.05),差异有统计学意义。结论胃十二指肠出血患者应用氩离子凝固术APC治疗效果较好,并发症的发生率较低,可以推广和应用。 Objective To explore the clinical effect and features of digestive endoscopy in the treatment of gastroduodenal bleeding so as to improve therapeutic level and alleviates patient's pain. Methods 110 patients with gastroduodenal bleeding admitted in our hospital between May 2013 and September 2014 were randomly selected as the research object and divided in control group and the study group with 55 in each group. The patients in the control group were treated with injection hemostasis based on which those in the study group were treated with argon plasma coagulation(APC). The clinical effect and features of the two groups were compared. Results The total effective rate of the study group, 93%,was superior to that of the control group, 82%,(P〈0.05); the total complication rate of the study group,11%, was obviously lower than that of the control group, 27%,and the rebleeding rate of the control group was obviously higher than that of the study group, and the differences were statistically significant(P〈0.05).Conclusion APC which has good effect and low complication rate can be promoted in the clinical treatment of patients with gastroduodenal bleeding.
作者 王振宁
出处 《中外医疗》 2015年第21期57-58,共2页 China & Foreign Medical Treatment
关键词 消化内镜 胃十二指肠出血 氩离子凝固术 注射止血 临床价值 Digestive endoscopy Gastrodudenal bleeding Argon plasma coagulation Injection hemostasis Clinical value
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