胃大部切除术后早期胃出血再手术患者的临床病因分析及治疗效果观察

Clinical Etiology Analysis and Therapeutic Effect Observation of Patients with Early Gastric Hemorrhage after Subtotal Gastrectomy

目的探讨胃大部切除术后早期胃出血再手术患者的临床病因分析及治疗效果观察。方法选取2017年6月至2019年6月山东省宁津县人民医院收治的胃大部切除术后早期胃出血患者60例作为研究对象,按照随机数字表法分为对照组和观察组,每组30例。对照组进行奥美拉陞和凝血酶进行治疗,观察组采用手术治疗,对患者治疗后效果进行评估,比较采用不同方式治疗的效果。结果治疗后,观察组总有效率高于对照组,差异有统计学意义(P<0.05)。结论对胃大部切除术后早期胃出血的患者,寻找出导致胃出血的原因,明确原因后再进行手术治疗更具有针对性,且治疗效果更加显著。

Objective To investigate the clinical etiology and therapeutic effect of subtotal gastrectomy in patients with early gastric hemorrhage.Methods A total of 60 patients with early gastric bleeding after subtotal gastrectomy admitted to our hospital from June 2017 to June 2019 were randomly divided into control group and observation group,30 patients in each group.The contro1 group was treated with omeprazole and thrombin,while the observation group was treated with surgery.After treatment,the patients were evaluated and the effects of different treatment methods were compared.Results The total effective rate in the observation group was higher than that in the control group(P<0.05).Concluaion In patients with early gastric bleeding after subtotal gastrectomy,the causes of gastric bleeding should be found out,and the surgical treatment should be conducted after the causes were identified.