期刊文献+

分析生长抑素联合艾司奥美拉唑钠治疗急性上消化道出血的临床效果 被引量:9

Clinical Effect of Somatostatin Combined with Esomeprazole Sodium in the Treatment of Acute Upper Gastrointestinal Hemorrhage
下载PDF
导出
摘要 目的分析对急性上消化道出血患者应用生长抑素与艾司奥美拉唑钠联合治疗的临床疗效的影响情况。方法将2016年8月-2017年10月期间我院收治的98例急性上消化道出血患者作为研究对象,采用随机数字表法分为对照组(生长抑素治疗)和观察组(生长抑素与艾司奥美拉唑钠联合治疗),每组患者49例。对比治疗后患者的临床疗效情况。结果经治疗后,观察组患者的Blatchford评分(4.88±0.79)分、止血时间(24.51±5.29)h以及住院天数(9.98±1.99)d明显优于对照组患者的Blatchford评分(6.55±0.45)分、止血时间(31.82±5.55)h以及住院天数(13.24±2.19)d;观察组患者各血常规及凝血指标显著高于对照组患者的,差异均具有统计学意义(P<0.05)。结论对于急性上消化道出血患者,应用生长抑素与艾司奥美拉唑钠联合治疗,可及时止血,并有效消除炎症,提高临床疗效。 Objective To investigate the clinical effect of somatostatin combined with Esomeprazole sodium in the treatment of acute upper gastrointestinal hemorrhage. Methods 98 cases with acute upper gastrointestinal hemorrhage in our hospital from August 2016 to October 2017 were selected as the study objects, they were randomly divided into the control group(somatostatin treatment) and the observation group(somatostatin combined with Esomeprazole sodium treatment), 49 cases in each group. Compare the clinical effect of the two groups. Results After treatment,Blatchford score, hemostasis time and hospital stay of the observation group [(4.88±0.79),(24.51±5.29)h,(9.98±1.99)d] were significantly better than those of the control group [(6.55±0.45),(31.82±5.55)h,(13.24±2.19)d], routine blood indexes and coagulation indexes of the observation group were significantly higher than those of the control group, the difference was statistic significant(P<0.05). Conclusion The application of somatostatin combined with Esomeprazole sodium in the treatment of acute upper gastrointestinal hemorrhage can stop the bleeding in time,reduce inflammation effectively, and improve the clinical effect.
作者 刘智慧 LIU Zhi-hui(First Affiliated Hospital of Henan Polytechnic University,Gastroenterology Department Ward Two,Jiaozuo 454001,Henan Province,China)
出处 《罕少疾病杂志》 2019年第1期55-56,59,共3页 Journal of Rare and Uncommon Diseases
关键词 急性上消化道出血 生长抑素 艾司奥美拉唑钠 临床疗效 Acute Upper Gastrointestinal Hemorrhage Somatostatin Esomeprazole Sodium Clinical Effect
  • 相关文献

参考文献10

二级参考文献88

  • 1Bong Sik Matthew Kim,Bob T Li,Alexander Engel,Jaswinder S Samra,Stephen Clarke,Ian D Norton,Angela E Li.Diagnosis of gastrointestinal bleeding: A practical guide for clinicians[J].World Journal of Gastrointestinal Pathophysiology,2014,5(4):467-478. 被引量:14
  • 2李兆申,湛先保.急性非静脉曲张性上消化道出血诊治指南(草案)[J].中华内科杂志,2005,40(1):73-76. 被引量:248
  • 3李兆申,许国铭,叶萍.奥曲肽治疗重症非静脉曲张性消化道出血40例疗效观察[J].中华消化杂志,1996,16(5):265-267. 被引量:89
  • 4British Society of Gastroenterology Endoscopy Committee.Nonvariceal upper gastrointestinal haemorrhage:guidelines[J].Gut,2002,51(Suppl4):1-6. 被引量:1
  • 5Barkun A,Bardou M,Marshall JK,et al.Consensus recom-mendations for managing patients with nonvariceal upper gas-trointestinal bleeding[J].Ann Intern Med,2003,139(10):843-857. 被引量:1
  • 6Simon-Rudler M,Massard J,Bernard-Chabert B,et al.Contin-uous infusion of high-dose omeprazole is more effective than standard-dose omeprazole in patients with high-risk peptic ul-cer bleeding:a retrospective study[J].Aliment Pharmacol T-her,2007,25(8):949-954. 被引量:1
  • 7Kuipers EJ,Sunq JJ,Barkun A,et al.Safety and tolerability of high-dose intravenous esomeprazole for prevention of peptic ulcer rebleeding[J].Adv Ther,2011,28(2):150-159. 被引量:1
  • 8Laterre PF,Horsmans Y.Intravenous omeprazole in critically ill patients:a randomized crossover study comparing40with 80mg plus8mg/hour on intragastric pH[J].J Crit Care Med,2001,29(10):1931-1935. 被引量:1
  • 9萧树东.胃肠病学[M].上海:上海科学技术出版社,2001.560. 被引量:116
  • 10Meier R, Wettstein AR. Treatment of acute nonvariceal upper gastrointestinal hemorrhage [ J ]. Digestion, 1999,60 ( suppl 2 ) :47 -52. 被引量:1

共引文献282

同被引文献83

二级引证文献47

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部