摘要
目的:探讨无痛胃镜下药物注射联合氩离子凝固术治疗非静脉曲张性上消化道出血的临床疗效。方法:将120例非静脉曲张性出血患者随机等分为3组,A组直接在传统普通胃镜下行药物注射;B组应用无痛胃镜下行药物注射止血;C组应用无痛胃镜下行药物注射止血联合氩离子凝固术。比较3组治疗效果及并发症发生情况。结果:与A组比较,B组、C组的止血时间缩短,再出血率、手术率下降及住院时间缩短,满意度得到提高,差异有统计学意义(P<0.05);且C组优于B组,差异有统计学意义(P<0.05)。结论:无痛胃镜下药物注射联合氩离子凝固术能提高非静脉曲张性出血的治疗效果且能减少并发症的发生率,缩短住院时间,提高患者满意度,值得临床推广应用。
Objective： To explore the clinical effect of combination of medicine injection under painless gastroscopy and argon plasma coagulation in treating non -variceal upper gastrointestinal bleeding. Methods： Randomly divided 120 non- variceal bleeding patients into 3 groups, group A directly conducted medicine injection under traditional ordinary gastroscope; group B applied medicine injection under painless gastroscope tO stop bleeding; group C applied the combination of medicine injection under painless gastroscope to stop bleeding and argon plasma coagulation. Compared the therapeutic effect and complication occurrence condition of the 3 groups. Results： Compared with group A, the hemostasis time, rebleeding rate, surgery rate and hospital stay of group B and group C lowered, the satisfaction level was improved, and the differences were of statistical significance （ P 〈 0.05 ） ; besides, group C was better than group B, and the difference was of statistical significance （ P 〈 0.05 ）. Conclusion： The combination of medicine injection under painless gastroscope and argon plasma coagulation can improve the therapeutic effect of non - variceal bleeding, reduce complication incidence, shorten hospital stay and enhance patients＇ satisfaction level. It is worth of clinical promotion and application.
出处
《护理实践与研究》
2016年第16期44-46,共3页
Nursing Practice and Research
基金
基金项目:顺德区卫生和计划生育局(2013005)
关键词
上消化道出血
无痛胃镜
药物注射
氩离子凝固治疗术
Upper gastrointestinal bleeding
Painless gastroscope
Medicine injection
Argon plasma coagulation
