奥曲肽对肝硬化所致上消化道出血血流动力学的影响

Influence of Octreotide on Dynamics of Blood Flow in Patients with Hemorrhage of Upper Digestive Tract Caused by Hepatic Cirrhosis

目的观察奥曲肽对肝硬化所致上消化道出血血流动力学的影响。方法选择2016年河源市连平县人民医院收治的肝硬化所致上消化道出血患者37例，在常规治疗基础上应用奥曲肽进行治疗。采用超声评估脾静脉和门静脉的血流情况。结果患者脾静脉和门静脉内径、血流量均较冶疗前减少，差异有统计学意义（P〈0．05）。结论奥曲肽可以显著减小上消化道出血患者脾静脉和门静脉内径、血流量，有利于止血治疗。

Objective To observe the influence of octreotide on dynamics of blood flow in patients with hemorrhage of upper digestive tract caused by hepatic cirrhosis. Methods Thirty-seven cases of patients with hemorrhage of upper digestive tract caused by hepatic cirrhosis in Lianping County Hospital of People of Heyuan City in 2016 were collected and accepted octreotide based on ordinary treatments. The blood flow of splenic vein and portal vein was evaluated by ultrasonography. Results The internal diameter and blood flow of splenic vein and portal vein reduced significantly after the treatments （P 〈 0.05）. Conclusion The octreotide can reduce the internal diameter and blood flow of splenic vein and portal vein. and is propitious to clinical hemostasis.