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碳酸氢钠联合胃镜下碎石对植物性胃石症的临床疗效研究 被引量:5

Study on Clinical Effect of Sodium Bicarbonate Combined with Endoscopic Lithotripsy for Gastrolithiasis
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摘要 目的:观察碳酸氢钠联合胃镜下碎石对植物性胃石症的临床疗效。方法:选择我院2014年1月至2015年12月来诊的植物性胃石症患者84例,随机分为观察组与对照组,各42例,对照组给予常规胃镜下碎石,观察组在此基础上使用碳酸氢钠辅助碎石,观察2组患者平均进行胃镜下碎石的次数,胃石消失时间,观察2组患者的并发症发生情况。结果:观察组29例患者1次碎石成功,成功率为69.05%。对照组16例,成功率为38.10%。观察组患者3次碎石后累计成功率为100%,对照组累计成功率为90.48%。观察组患者1次碎石成功率和3次累计碎石成功率均明显高于对照组,同时,观察组碎石次数明显少于对照组,差异有统计学意义(P<0.05)。结论:碳酸氢钠联合胃镜下碎石对于植物性胃石症具有良好的临床疗效,减少反复碎石次数,加速结石溶解,适合临床推广应用。 Objective:To observe the clinical effect of sodium bicarbonate combined with endoscopic lithotripsy for gastrolithiasis. Methods:A total of 84 gastrolithiasis patients in our hospital from Jan 2014 to Dec 2015 wore randomly divided into the observation group and the control group (each of 42 cases), control group was given conventional endoscopic lithotripsy, the observation group was given sodium bicarbonate based on the use of endoscopic hithotnipsy. The two groups of patients with an average of endoscopic lithotripsy times, bezoar disappeared time, complications were observed. Results:The cumulative success rate in the observation group was higher that in the control group (P〈0.05),the lithothipsy times in the observation group was less than that in the control group (P〈0.05) . Conclusion:Sodium bicarbonate combined with endoscopic lithotripsy for gastrolithiasis has good clinical curative effect,reduce the repeated lithotripsy,accelerate the dissolution of stones.
出处 《沈阳医学院学报》 2016年第5期359-360,共2页 Journal of Shenyang Medical College
关键词 碳酸氢钠 胃镜 碎石 植物性胃石症 sodium bicarbonate gastroscopy lithotripsy gastrolithiasis
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