摘要
目的为了提高肝硬化并食管胃静脉曲张破裂出血治疗效果,探讨消化内镜治疗的价值和意义。方法随机在该院2017年9月—2019年9月接诊的肝硬化并食管胃静脉曲张破裂出血患者中选取80例作为研究对象,通过计算机随机分组软件将其平均分为观察组和对照组各40例,其中对照组患者予以常规药物治疗,而观察组患者则在对照组治疗方案基础予以消化内镜治疗,比较两组疗效差异。结果研究数据表明,观察组患者治疗后首次和再次出血发生率分别为52.50%、40.00%,而对照组患者治疗后首次和再次出血发生率分别为75.00%、80.00%,和对照组相比观察组患者治疗后首次和再次出血发生率明显降低,组间比较差异有统计学意义(χ^(2)首次=4.381,P首次<0.05;χ^(2)再次=13.333,P再次<0.05);观察组患者的平均止血时间和输血量与对照组相比明显缩短,组间比较差异有统计学意义(t止血=21.340,t输血=52.110,P<0.05)。结论肝硬化并食管胃静脉曲张破裂出血患者在接受常规药物治疗的基础上辅以消化内镜治疗,既可以降低首次和再次出血发生率,又可以减少输血量并缩短止血时间,效果显著,值得推广。
Objective To improve the therapeutic effect of cirrhosis and esophagogastric varices bleeding,and to explore the value and significance of digestive endoscopy.Methods Randomly selected 80 patients with liver cirrhosis and esophageal gastric varices hemorrhage admitted in the hospital from September 2017 to September 2019 as the research objects,and divided them into observation group and control group by computer randomization software.There were 40 cases in each group,among which patients in the control group were treated with conventional drugs,while patients in the observation group were treated with digestive endoscopy based on the treatment plan of the control group.The difference in curative effect between the two groups was compared.Results Research data showed that the incidence of first and second bleeding after treatment in the observation group were 52.50%and 40.00%,respectively,while the incidence of first and second bleeding after treatment in the control group was 75.00%and 80.00%,respectively,compared with the control group,the incidence of first and second bleeding after treatment in the observation group was significantly reduced,and the difference between the groups was statistically significant(χ^(2)irst=4.381,Pfirst<0.05;χ^(2)again=13.333,Pagain<0.05);the average hemostasis time and blood transfusion of the observation group were significantly shorter than those in the control group,and the difference between the groups was statistically significant(themostasis=21.340,ttransfusion=52.110,P<0.05).Conclusion Patients with liver cirrhosis and esophageal gastric varices hemorrhage receive conventional drug treatments supplemented by digestive endoscopy,which can reduce the incidence of first and second bleeding,reduce the amount of blood transfusion and shorten the time of hemostasis.The effect is significant.It is worth promoting.
作者
苏庆革
SU Qing-ge(Department of Gastroenterology,Shenxian People's Hospital,Liaocheng,Shandong Province,252400 China)
出处
《系统医学》
2021年第1期65-67,共3页
Systems Medicine
关键词
肝硬化
食管胃静脉曲张破裂
出血
消化内镜
疗效
Liver cirrhosis
Rupture of esophageal and gastric varices
Bleeding
Digestive endoscopy
Curative effect
