内镜联合药物治疗肝硬化合并食管胃底静脉曲张破裂出血的止血效果分析

Analysis of Hemostatic Effect of Endoscopy Combined Medicine in the Treatment of Cirrhosis Complicated with Esophageal and Gastric Variceal Bleeding

目的:探讨内镜联合药物用于肝硬化合并食管胃底静脉曲张破裂出血治疗中对患者临床效果的影响。方法:选取2017年9月~2019年9月某院收治的72例肝硬化合并食管胃底静脉曲张破裂出血患者,按随机数字表法分为对照组和观察组各36例。对照组采用生长抑素治疗,观察组加用内镜治疗,于1个月后复查时比较两组止血效果、并发症状况。结果:观察组止血成功率高于对照组,再次出血率低于对照组,差异有统计学意义(P<0.05);两组并发症发生率相比,差异无统计学意义(P>0.05)。结论:内镜联合药物治疗可增强肝硬化合并食管胃静脉曲张破裂出血患者止血效果,减少并发症。

Objective:To explore the effect of endoscopy combined with drugs in the treatment of liver cirrhosis complicated with esophageal and gastric variceal bleeding.Methods:72 cirrhotic patients with esophageal and gastric variceal bleeding in a hospital from September 2017 to September 2019 were selected and divided into two groups according to the random number table method,with 36 cases in each group.The control group was treated with somatostatin and the observation group with endoscopy based on the control group.One month later,the hemostasis effect and complications of the two groups were compared.Results:The success rate of hemostasis in the observation group was higher than that in the control group,and the rate of rebleeding was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion:Endoscopy combined with medicine can enhance the hemostatic effect and reduce the complications in patients with cirrhosis complicated with esophageal and gastric variceal bleeding.