摘要
目的探讨急性上消化道出血的临床诊治。方法取2010年5月至2012年7月期间我院收治的急性上消化道出血患者158例为本次研究对象,将其随机分成两组,对照组79例患者以泮托拉唑治疗,实验组79例患者在对照组的基础上应用奥曲肽治疗,对两组患者的疗效进行对比分析。结果经临床诊断和针对性治疗后,对照组总有效率为79.75%,实验组总有效率为97.47%,组间差异明显(P<0.05)。对照组患者的止血时间比实验组更长(P<0.05),对照组患者的输血量与再次出血率高于实验组(P<0.05)。结论急性上消化道出血致病因具有多样性,应综合患者的体征和症状以及辅助检查进行诊断,而胃镜检查是首选诊断方法;治疗方面,联用药物疗效较单用药更佳。
Objective To investigate the clinical treatment of acute upper gastrointestinal hemorrhage. Methods 158 cases of acute upper gastrointestinal bleeding patients in our hospital from May 2010 to July 2012 were randomly divided into two groups： the control group with 79 patients were treated with pantoprazole; the experimental group with 79 patients were treated with octreotide on the basis of control group＇s treatment. The efficacy of the two groups was compared and analyzed. Results After clinical diagnosis and targeted therapy, the total effective rate was 79.75% in the control group, and was 97.47% in the experimental group; the difference between the two groups was significantly （P 〈0.05）. Bleeding time of patients was longer in the control group than that in the experimental group （P 〈0.05）. Transfusion rebleeding rate was higher in the control group than that in the experimental group, with statistical significance （P 〈0.05）. Conclusions The etiology of acute upper gastrointestinal bleeding is diversified, and it should be integrated with patients＇ signs and symptoms as well as laboratory examinations for diagnosis. Endoscopy is the preferred diagnostic method, and combined treatment has better efficacy than single drug.
出处
《临床医学工程》
2014年第2期196-198,共3页
Clinical Medicine & Engineering
关键词
急性上消化道出血
诊断
治疗
Acute upper gastrointestinal bleeding
Diagnosis
Treatment
