论文部分内容阅读
目的观察兰索拉唑联合奥曲肽治疗急性上消化道出血的疗效。方法将80例急性上消化道出血患者随机分为两组:联合组在常规治疗基础上采用兰索拉唑联合奥曲肽治疗,对照组在常规治疗基础上单用兰索拉唑治疗,分别比较两组患者治疗72 h后的疗效。结果联合组总有效率为95%,明显优于对照组的72.5%,且治疗72 h后不能止血的2例患者出血明显减少,在112 h内止血。对照组11例无效患者有8例中转手术,1例死亡。结论兰索拉唑联合奥曲肽对急性上消化道出血有较好疗效,可降低急诊手术率和病死率。
Objective To observe the efficacy of lansoprazole combined with octreotide in the treatment of acute upper gastrointestinal bleeding. Methods Eighty patients with acute upper gastrointestinal bleeding were randomly divided into two groups: the combination group was treated with lansoprazole combined with octreotide on the basis of conventional treatment, the control group was treated with lansoprazole alone on the basis of routine treatment, Group of patients after 72 h treatment. Results The total effective rate was 95% in the combination group, which was significantly better than 72.5% in the control group. Two patients who failed to stop bleeding after 72 h treatment significantly reduced bleeding and stopped bleeding within 112 h. In the control group, 11 patients were ineffective and 8 patients were transferred to the hospital. One patient died. Conclusions Lansoprazole combined with octreotide has a good effect on acute upper gastrointestinal bleeding, which can reduce the emergency operation rate and mortality.