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目的探讨消化内镜在上消化道静脉曲张性出血中的应用效果。方法选取四川大学华西广安医院2015年6月—2016年6月收治的上消化道静脉曲张性出血患者100例,随机分为对照组和试验组,各50例。对照组患者给予常规对症治疗,试验组患者在对照组基础上施加消化内镜治疗。比较两组患者的临床疗效、治疗前后各临床症状量化评分、止血时间及并发症发生情况。结果试验组患者临床疗效优于对照组(P<0.05)。治疗前,两组患者呕血、黑便、口腔症状、胃痛、胃胀、心悸、头晕与泌尿系统症状量化评分比较,差异无统计学意义(P>0.05);治疗后,试验组患者呕血、黑便、口腔症状、胃痛、胃胀、心悸、头晕与泌尿系统症状量化评分低于对照组(P<0.05)。试验组患者止血时间低于对照组,(P<0.05)。两组患者并发症发生率比较,差异无统计学意义(P>0.05)。结论采用消化内镜在上消化道静脉曲张性出血治疗中的应用效果确切,可有效改善患者的临床症状,缩短止血时间,且安全性较高。
Objective To investigate the effect of digestive endoscopy on upper gastrointestinal variceal bleeding. Methods One hundred patients with upper gastrointestinal varicose bleeding who were admitted to Sichuan Guang’an Hospital of West China from June 2015 to June 2016 were randomly divided into control group and trial group, 50 cases in each group. Patients in the control group were given conventional symptomatic treatment. Patients in the test group were treated with digestive endoscopy on the basis of the control group. The clinical curative effect of two groups of patients was compared, the quantified score of clinical symptoms before and after treatment, the bleeding time and the complication occurred. Results The clinical efficacy of the experimental group was better than that of the control group (P <0.05). Before treatment, there was no significant difference between the two groups in hematemesis, melena, oral symptoms, stomachache, bloating, palpitation, dizziness and urinary system symptom scores (P> 0.05). After treatment, However, oral symptoms, stomachache, bloating, heart palpitations, dizziness and urinary symptoms were significantly lower than those in the control group (P <0.05). The bleeding time of the experimental group was lower than that of the control group (P <0.05). There was no significant difference in complication rates between the two groups (P> 0.05). Conclusion The application of digestive endoscopy in the treatment of upper gastrointestinal varicose bleeding is effective, which can effectively improve the clinical symptoms, shorten the time of hemostasis and have higher safety.