氩离子凝固术联合药物治疗急性非静脉曲张性上消化道出血的效果

Effect of argon plasma coagulation combined with drug therapy on acute non-variceal upper gastrointestinal hemorrhage

目的探析氩离子凝固术联合药物治疗急性非静脉曲张性上消化道出血的临床效果。方法 35例急性非静脉曲张性上消化道出血患者,随机分为对照组(17例)和观察组(18例)。对照组采用药物治疗,观察组在对照组基础上采用氩离子凝固术治疗。比较两组患者肠鸣音恢复时间、住院时间及止血情况、72 h内再出血情况。结果观察组止血成功率明显高于对照组, 72 h内再出血率明显低于对照组,差异有统计学意义(P<0.05)。观察组肠鸣音恢复时间(2.62±0.23)d、住院时间(6.28±1.26)d明显短于对照组的(4.17±0.54)、(8.98±1.34)d,差异有统计学意义(P<0.05)。结论针对急性非静脉曲张性上消化道出血患者采用氩离子凝固术联合药物治疗方案可获得理想效果,止血成功率高,住院时间短,预后佳,值得进一步推广应用。

Objective To discuss and analyze the clinical effect of argon plasma coagulation combined with drug therapy on acute non-variceal upper gastrointestinal hemorrhage. Methods A total of 35 patients with acute non-variceal upper gastrointestinal hemorrhage were randomly divided into control group (17 cases) and observation group (18 cases). The control group received drug therapy, and the observation group received argon plasma coagulation on the basis of the control group. Comparison were made on recovery time of bowel sounds, hospitalization time, hemostasis and rebleeding within 72 h between the two groups. Results The observation group had obviously higher hemostasis success rate than the control group, and obviously lower rebleeding rate within 72 h than the control group. Their difference was statistically significant (P<0.05). The observation group had obviously shorter recovery time of bowel sound as (2.62±0.23) d and hospitalization time as (6.28±1.26) d than (4.17±0.54) and (8.98±1.34) d in the control group, and the difference was statistically significant (P<0.05). Conclusion For patients with acute non-variceal upper gastrointestinal hemorrhage, argon ion coagulation combined with drug therapy can achieve ideal results with high success rate of hemostasis, short hospitalization time and good prognosis. It is worth further promotion and application.