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目的 :探讨用无痛胃镜下氩气刀合金属钛夹术治疗上消化道出血的临床效果。方法 :对2010年3月~2015年3月期间我院收治的70例上消化道出血患者的临床资料进行回顾性研究。我们将这70例患者随机分为观察组和对照组,其中观察组有30例患者,对照组有40例患者。我院使用保守疗法对对照组患者进行治疗,使用无痛胃镜下氩气刀合金属钛夹术对观察组患者进行治疗。治疗结束后,比较两组患者的有效止血率和出血完全停止的用时。结果 :观察组患者的有效止血率明显高于对照组患者,其出血完全停止的用时明显短于对照组患者,二者相比差异具有显著性(P<0.05)。结论 :用无痛胃镜下氩气刀合金属钛夹术治疗上消化道出血具有止血效果好、速度快的优点。因此,进行无痛胃镜下氩气刀合金属钛夹术可作为临床上治疗上消化道出血的优选方法。
Objective: To investigate the clinical effect of argon gas knife combined with titanium clip in the treatment of upper gastrointestinal hemorrhage under painless gastroscope. Methods: The clinical data of 70 patients with upper gastrointestinal bleeding admitted in our hospital from March 2010 to March 2015 were retrospectively studied. We randomly divided the 70 patients into observation and control groups, with 30 patients in the observation group and 40 patients in the control group. In our hospital, patients in the control group were treated with conservative therapy, and the patients in the observation group were treated with argon knife and titanium titanium clip under painless gastroscope. After the treatment, the effective hemostatic rate and the complete stop of bleeding were compared between the two groups. Results: The effective hemostatic rate in the observation group was significantly higher than that in the control group. The time to complete cessation of hemorrhage was significantly shorter than that in the control group. The difference was significant (P <0.05). Conclusion: The use of argon gas knife under the painless gastroscope in the treatment of upper gastrointestinal bleeding with hemostatic effect is good, fast advantages. Therefore, the painless gastroscope argon knife metal titanium clip can be used as a clinical treatment of upper gastrointestinal bleeding the preferred method.