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目的探讨急诊胃镜止血夹止血联合药物治疗溃疡性上消化道出血的临床疗效。方法选取福鼎市医院2014年2月—2015年10月收治的溃疡性上消化道出血患者84例,随机分为观察组与对照组,各42例。对照组给予急诊胃镜止血夹止血治疗,观察组给予急诊胃镜止血夹止血联合药物治疗。比较两组患者平均动脉压(MAP)、血红蛋白(Hb)、再出血率、转手术率、止血时间、住院时间及临床疗效。结果治疗前两组患者MAP、Hb水平比较,差异无统计学意义(P>0.05);治疗后观察组MAP水平、Hb水平及总有效率高于对照组,再出血率、转手术率低于对照组,止血时间及住院时间短于对照组,差异有统计学意义(P<0.05)。结论急诊胃镜止血夹止血联合药物治疗溃疡性上消化道出血临床疗效确切,可有效改善患者MAP、Hb水平,降低出血率。
Objective To investigate the clinical efficacy of emergency gastroscope and hemostatic clip combined with drugs in the treatment of ulcer upper gastrointestinal bleeding. Methods Eighty-four patients with ulcerative upper gastrointestinal bleeding who were treated in Fuding Hospital from February 2014 to October 2015 were randomly divided into observation group and control group, with 42 cases in each group. The control group was given emergency endoscopy hemostatic clip to stop bleeding, and the observation group was given emergency endoscopy hemostatic clip to stop bleeding combined with drug treatment. The mean arterial pressure (MAP), hemoglobin (Hb), rate of rebleeding, rate of operation, bleeding time, length of hospital stay and clinical efficacy were compared between the two groups. Results There was no significant difference in MAP and Hb levels between the two groups before treatment (P> 0.05). MAP level, Hb level and total effective rate in the observation group were higher than those in the control group after treatment, and the rate of rebleeding, The control group, bleeding time and hospital stay shorter than the control group, the difference was statistically significant (P <0.05). Conclusions Emergency endoscopic hemostatic clip hemostasis combined with drugs for the treatment of ulcerative upper gastrointestinal bleeding clinical curative effect can effectively improve the MAP and Hb levels, reduce the bleeding rate.