中西医结合治疗肝硬化食管-胃静脉曲张破裂出血的对比观察

A Comparative Study in the Treatment of Patients with Esophageal and Gastric Varices Bleeding of Cirrhosis of Liver by Integration of Western Medicine and Traditional Chinese Medicine

目的:对比观察中西医结合治疗食管-胃静脉曲张破裂出血的疗效。方法:采用随机分组,将入选32例患者,分为两组均行内镜下曲张静脉套扎术,观察组加小剂量善宁合并止血汤17例,对照组小剂量善宁15例。结果:两组资料相似具有可比性。观察组的止血率94.1%,无再出血;对照组止血率80%,再出血率6.67%。两组差异有统计学意义(P<0.05)。两组均未发生明显不良反应。结论:内镜下曲张静脉套扎术加小剂量善宁合并止血汤中西医结合治疗食管-胃静脉曲张破裂出血止血率高、再出血率低,无明显不良反应。

Objective： To evaluate patients with esophageal and gastric varices bleeding of cirrhosis of liver by integration of medicine and traditional medicine. Methods ： Thirty-two hepatic cirrhosis patients com-plicated with esophageal and gastric varices were divided into two groups which were treated by endoscopic variceal ligation, while 17 patients were treated by small quantity sandostatin and hemostasie decoction of herbal medicine in test group, 15 patients were treated by small quantity sa ndostatin. Results ： The rate of hemostasic were 94.1% in the test group and 80% in the control group while the rate of the rebleeding respectively were 0% and 6.67%. There was significent difference between the two groups （ P 〈 O. 05 ）. Conclusion： The integration of medicine and traditional medicine has curative effects in esophageal and gastric varices.