摘要
目的探讨胃大部切除术治疗胃十二指肠溃疡大出血患者的临床疗效。方法选取2011年12月~2014年12月来我院治疗的120例胃十二指肠大出血患者作为研究对象,根据患者意愿以及实际病情把120例患者随机分成两组,观察组和对照组,每组分别60例患者。对照组给予常规西药治疗,观察组给予胃大部切除术治疗,比较两组临床治疗效果。结果观察组胃肠功能恢复时间为（35.21±6.57）h,住院时间为（7.01±1.41）d,治疗费用为（3547.23±156.85）元;对照组胃肠功能恢复时间为（49.64±7.81）h,住院时间（12.89±2.81）d,治疗费用为（4304.24±142.21）元;观察组治疗有效率为98%,对照组治疗有效率为77%;观察组并发症为7%,对照组为17%。观察组明显优于对照组。两组比较,差异有统计学意义（P〈0.05）。结论对胃十二指肠溃疡大出血患者实施胃大部切除术治疗可促进患者及时康复,术后并发症状较少,可在临床治疗中推广应用。
Objective To explore the clinical curative effect of subtotal gastrectomy in treatment of patients with massive hemorrhage of gastroduodenal ulcer. Methods 120 patients with massive hemorrhage of gastroduodenal ulcer who were admitted to our hospital from December 2011 to December 2014 were selected as research objects. They were allocated to the observation group and the control group according to wills and actual diseases of patients, with 60 in each. The control group was received conventional western medicine treatment while the observation group was received subtotal gastrectomy. Clinical curative effects of two groups were observed and compared. Results The gastrointestinal function recovery time, hospitalization time and cost of treatment of the observation group were（35.21±6.57）h,（7.01±1.41）d and（3547.23±156.85） RMB respectively. The gastrointestinal function recovery time, hospitalization time and cost of treatment of the control group were（49.64±7.81）h,（12.89±2.81）d and（4304.24±142.21） RMB respectively. Effective rate of treatment of the observation group was 98% while effective rate of the control group was 77%. Complication of the observation group was 7% while complication of the control group was 17%. The observation group was obviously superior to the control group. Differences between two groups were statistically significant（P〈0.05）. Conclusion Subtotal gastrectomy in treatment of patients with massive hemorrhage of gastroduodenal ulcer can promote recovery of patients and has fewer postoperative complications which is worthy of promotion and application in clinical treatment.
出处
《中国医药科学》
2015年第21期208-211,共4页
China Medicine And Pharmacy
关键词
胃大部切除术
治疗
胃十二指肠溃疡大出血
临床研究
Subtotal gastrectomy
Treatment
Massive hemorrhage of gastroduodenal ulcer
Clinical research
