内镜金属钛夹治疗消化道急性出血的临床探讨

The Clinical Study of Endoscopic Metal Titanium Clamp in the Treatment of Acute Digestive Tract Bleeding

目的:探讨内镜金属钛夹治疗消化道急性出血的临床效果。方法:随机选取2011年10月-2014年8月治疗的消化道急性出血患者160例,分成观察组与对照组,每组80例,其中,对照组行内镜下单纯金属钛夹治疗,观察组行内镜下金属钛夹联合黏膜下注射机喷洒立止血。结果:两组止血率、二次止血率及成功率比较差异有统计学意义(P<0.05);两组外科手术率、止血无效率比较差异无统计学意义(P>0.05)。结论:内镜下联合金属钛夹及黏膜下注射和喷洒立止血,为治疗消化道急性出血的安全方式,操作简易、并发症少,值得应用推广。

Objective： To investigate the clinical effect of endoscopic metal titanium clamp in the treatment of acute digestive tract bleeding. Method： 160 patients were randomly selected from October 2011 to August 2014 for the treatment of acute digestive tract bleeding, ihey wer~ divided into the observation group and the control group, 80 cases in each group, the control group only was used endoscopic metal titanium clamp treatment, the observation group was taken endoscopic metal titanium clamp combined with submucous injection machine spraying Reptilase.Result： The rale of hemoslasis, two secondary hemostasis rate and success rate had statistical significance hetween the two groups（P〈0.05）, the surgical operation rate, hemostatic invalid rate had no significant difference between the two groups（P〉0.05）.Conclusion： Endoscopic metal titanium clamp and combination of snbmucosal injection and spraying Reptilase is the safety treatment for acute digestive tract bleeding, it is easy operation, less complications, is worthy of promotion anti application.