中西医结合治疗非静脉曲张性上消化道出血

Clinical Analysis of Integrated Traditional Chinese and Western Medicine in the Treatment of Non-variceal Upper Gastrointestinal Hemorrhage

目的:探讨中西医结合治疗非静脉曲张上消化道出血患者止血的临床疗效。方法:选择2010年1月到2011年12月期间我院住院的136例非静脉曲张上消化道出血患者,将患者按随机抽样法随机分为两组,67例患者采用常规治疗基础上加用洛赛克针剂治疗作为对照组。69例患者作为研究组,在对照组治疗的基础上加用复方中药治疗,比较两组的止血时间、显效时间、治疗效果、输血量以及不良反应发生率,持续治疗1周。结果:对照组总有效率为77.6%,研究组总有效率为94.2%,与对照组比,差异显著,有统计学意义(P<0.05);与对照组止血时间(14.85±2.56)h、显效时间(9.49±2.64)h、输血量(2.86±1.53)U比较,研究组患者各指标明显改善,有统计学意义(P<0.05);对照组患者不良反应发生率为7.5%,观察组不良反应发生率为5.8%,两组互相比较,差异不显著,没有统计学意义。结论:中西医结合治疗非静脉曲张上消化道出血效果好于单纯西医治疗,疗效显著,不良反应发生率低,值得临床推广。

Objective：To discuss the clinical analysis of integrated traditional Chinese and western medicine in the treatment of upper gastrointestinal hemorrhage.Method：From January 2010 to December 2011 in our hospital,the 136 cases of upper gastrointestinal hemorrhage were randomLy divided into two groups,67 cases patients were given Conventional treatment coupled with Losec injection treatment as the control group,69 cases patients are based on the control group coupled with compound traditional Chinese medicine treatment as the research group.Then compared with hemostatic time,effective time,treatment effect,blood transfusion amount and the adverse reaction rate of two groups.Treating for a week continually.Result：Compared with the total effective rate of the control group was 77.6%,the total effective rate of the research group was 94.2%,which was improved effectly,there were significant differences（P0.05）;Compared with hemostatic time（10.68±2.84） h,effective time（9.49±1.64） h and blood transfusion amount（2.86±1.53） U of the control group.all indexes of research group was improved effectly,there were significant differences;Compared the the adverse reaction rate of the control group was 7.6%,the adverse reaction rate of the research group was 5.8%,which was not improved effectly,there were no significant differences.Conclusion：Integrated traditional Chinese and western medicine in the treatment of upper gastrointestinal hemorrhage are better than western medicine treatment,which has effective curative effect.The adverse reaction rate is low,so it is worthy of popularization.