胃镜联合金属钛夹治疗溃疡性上消化道出血的效果观察

Effect observation of gastroscope combined with titanium clip in the treatment of patients with ulcerative upper gastrointestinal bleeding

目的探讨胃镜联合金属钛夹治疗溃疡性上消化道出血的效果。方法将106例溃疡性上消化道出血患者分为对照组与研究组各53例,对照组给予胃镜下注射肾上腺素治疗,研究组给予胃镜联合金属钛夹治疗。比较2组患者不良反应发生率、止血疗效、即时止血率及再出血率。结果研究组患者治疗期间不良反应发生率显著低于对照组(P <0. 05)。研究组患者的止血有效率显著高于对照组(P <0. 05)。研究组即时止血率显著高于对照组,再出血率显著低于对照组(P <0. 05)。结论胃镜联合金属钛夹治疗方案可作为临床治疗溃疡性上消化道出血的首选疗法,止血快速、有效,并能预防再出血,不良反应发生率也较低。

Objective To explore the effect of gastroscope combined with titanium clip in the treatment of patients with ulcerative upper gastrointestinal hemorrhage.Methods Totally 106 patients with ulcerative upper gastrointestinal hemorrhage were divided into control group and study group,with 53 cases in each group.The control group was treated with adrenaline injection under gastroscope,and the study group was treated with gastroscope and titanium clip.The adverse reactions,hemostasis effect,immediate hemostasis rate and rebleeding rate were compared between the two groups.Results The incidence of adverse reactions in the study group was significantly lower than that in the control group(P<0.05).The effective rate of hemostasis in the study group was significantly higher than that in the control group(P<0.05).The immediate hemostasis rate of the study group was significantly higher than that of the control group,and the rebleeding rate was significantly lower than that of the control group(P<0.05).Conclusion Gastroscopy combined with titanium clip can be used as the first choice in the treatment of patients with ulcerative upper gastrointestinal bleeding,which can stop bleeding quickly and effectively,and prevent rebleeding,and it has a low incidence rate of adverse reactions.