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目的:探讨内镜下金属钛夹止血在急性非静脉曲张性上消化道出血治疗中的应用价值。方法:按照随机数字表法将2014年1月-2014年12月我院收治的40例急性非静脉曲张性上消化道出血患者分为观察组(n=20)及对照组(n=20),观察组行内镜下金属钛夹止血治疗,对照组予以内镜下药物注射,比较两组治疗后的止血效果、临床疗效及并发症情况。结果:观察组患者治疗后的有效止血率、即时止血率为95.00%、100.00%,分别高于对照组的65.00%、75.00%,差异有统计学意义(P<0.05)。治疗后观察组临床疗效优于对照组,差异有统计学意义(P<0.05)。治疗后两组患者均未出现严重并发症。结论:内镜下金属钛夹止血用于急性非静脉曲张性上消化道出血具有止血效果好、并发症少等特点,临床有重要的参考价值。
Objective: To investigate the value of endoscopic titanium clip in the treatment of acute non-variceal upper gastrointestinal bleeding. Methods: According to the random number table, 40 patients with acute non-variceal upper gastrointestinal bleeding admitted from January 2014 to December 2014 in our hospital were divided into observation group (n = 20) and control group (n = 20) , The observation group endoscopic titanium clamp to stop bleeding, the control group to endoscopic drug injection, the two groups after treatment to compare the bleeding effect, clinical efficacy and complications. Results: The effective rate of hemostasis in the observation group was 95.00% and 100.00%, respectively, which were higher than 65.00% and 75.00% of the control group, respectively. The difference was statistically significant (P <0.05). After treatment, the observation group had better clinical curative effect than the control group (P <0.05). After treatment, no serious complications occurred in both groups. Conclusion: Endoscopic titanium clip with hemostasis for acute non-variceal upper gastrointestinal bleeding with hemostatic effect, less complications, clinically important reference value.