尼龙绳、钛夹荷包缝合术治疗消化性溃疡出血的临床效果

Clinical Effect of Nylon Suture and Titanium Clip Purse Suture on Peptic Ulcer Bleeding

目的探究尼龙绳、钛夹荷包缝合术治疗消化性溃疡出血患者的效果。方法选取我院2018年5月至2019年5月接收的消化性溃疡出血患者74例,随机数字表法分为观察组(n=37)与对照组(n=37),对照组行单纯钛夹止血术治疗,观察组行尼龙绳、钛夹荷包缝合术治疗,比较2组手术相关指标、止血有效率、再出血率、并发症情况。结果观察组手术时间、住院时间短于对照组(P<0.05);观察组止血有效率100.00%较对照组81.07%高(P<0.05),观察组再出血率2.70%与对照组20.00%相比差异无统计学意义(P>0.05);2组术后并发症发生率相比差异无统计学意义(P>0.05)。结论尼龙绳、钛夹荷包缝合术治疗消化性溃疡出血(Forrest IIb)患者,可有效提高止血有效率,缩短手术时间、住院时间,术后并发症少。

Objective To investigate the effect of nylon rope and titanium clip purse suture in the treatment of patients with peptic ulcer bleeding.Methods A total of 74 patients with peptic ulcer hemorrhage received from May 2018 to May 2019 in our hospital were randomly divided into observation group(n=37)and control group(n=37).The control group received pure titanium clip hemostasis,and the observation group received nylon rope and titanium clip purse suture.The two groups were compared for surgical-related indicators,hemostatic effectiveness,rebleeding rate,and complications.Results The operation time and hospitalization time of the observation group were shorter than that of the control group(P<0.05).The effective rate of hemostasis in the observation group was 100.00%higher than that of the control group(P<0.05).The rebleeding rate of the observation group was 2.70%and the control group was 20.00%.There was no significant difference in the odds ratio(P>0.05).There was no significant difference in the incidence of postoperative complications between the two groups(P>0.05).Conclusion Nylon rope and titanium clip purse suture for the treatment of patients with peptic ulcer hemorrhage(Forrest IIb)can effectively improve the hemostasis efficiency,shorten the operation time,hospitalization time and less postoperative complications.