中西医结合治疗肝硬化合并上消化道大出血临床观察

Observation in the Combination of Traditional Chinese Medicine and Western Medicine on the Hepatocirrhosis with Upper Gastrointestinal Bleeding

目的探讨基层医疗条件下中西医结合治疗肝硬化合并上消化道大出血的临床疗效。方法将确诊为肝硬化合并上消化道大出血患者50例随机分为两组,治疗组采用中西医结合治疗方案,对照组采用奥曲肽联合奥美拉唑方案;观察时间为72h。结果治疗组与对照组止血有效率分别为96.00%、92.00%,两组有效率差异无统计学意义;治疗组与对照组有效止血时间分别为(25.71±6.35)h、(24.34±7.04)h;治疗组、对照组的平均每例输血量分别为(526.15±242.20)mL、(516.22±231.10)mL,两组止血有效时间和输血量差异无统计学意义。结论采用中西医结合治疗肝硬化合并上消化道大出血疗效满意。

Objective： To observe the effect of the combination of traditional Chinese medicine and westem medicine on the hepatocirrhosis with upper gastrointestinal bleeding under the primary health care. Methods： 50 patients were divided randomly into two groups. The treatment group was used the therapy of the combination of traditional Chinese medicine and western medicine and the control group was given the method of octreotide combined omeprazole. These treatments were continued for 72 hours. Results： The effective rate of the treatment group was 96. 0% and that of the control group was 92. 00%. There was not an obvious difference between the two groups. The effective hemostasis time of the treatment group was （25.71 ± 6. 35） h and that of the control group was （24.34 ± 7.04） h. The average amount of the blood transfusion in the treatment group was （526 ± 242） mL and that in the control group was （516 ± 231 ） mL. There was no a significant difference between these two groups in the effective hemostasis time and the average amount of the blood transfusion, Conclusion： It is significant of the combination of traditional Chinese medicine and western medicine on the hepatocirrhosis with upper gastrointestinal bleeding.