内镜止血在急性非静脉曲张性上消化道出血治疗中的临床应用

目的:探讨内镜下金属钛夹止血在急性非静脉曲张性上消化道出血治疗中的应用价值。方法:按照随机数字表法将2014年1月-2014年12月我院收治的40例急性非静脉曲张性上消化道出血患者分为观察组(n=20)及对照组(n=20),观察组行内镜下金属钛夹止血治疗,对照组予以内镜下药物注射,比较两组治疗后的止血效果、临床疗效及并发症情况。结果:观察组患者治疗后的有效止血率、即时止血率为95.00%、100.00%,分别高于对照组的65.00%、75.00%,差异有统计学意义(P0.05)。治疗后观察组临床疗效优于对照组,差异有统计学意义(P0.05)。治疗后两组患者均未出现严重并发症。结论:内镜下金属钛夹止血用于急性非静脉曲张性上消化道出血具有止血效果好、并发症少等特点,临床有重要的参考价值。

Clinical Application of Endoscopic Hemostasis to Acute Non-variceal UpperGastrointestinal Bleeding

Objective:To explore the application value of endoscopic metal titanium clip hemostasis in acute non-variceal uppergastrointestinal bleeding.Methods:A total of 40 patients with acute non-variceal upper gastrointestinal bleeding, who were admitted toHechi Hospital Affiliated to Youjiang Medical College for Nationalities from January 2014 to December 2014, were randomly dividedinto observation group (n=20) and control group (n=20). The observation group was treated with endoscopic metal titanium cliphemostasis, while the control group, with endoscopic drug injection. Then the hemostatic effect, clinical efficacy and complications in thetwo groups after treatment were compared.Results:The effective hemostasis rate (95.00%) and immediate hemostasis rate (100.00%) ofobservation group were higher than that (65.00%) and that (75.00%) of control group respectively, the differences were statisticallysignificant (P<0.05). The clinical efficacy of observation group was better than that of control group, the difference was statisticallysignificant (P<0.05). No serious complications occurred in the two groups after treatment.Conclusion:Endoscopic metal titanium cliphemostasis has the advantages of good hemostatic effect, less complications in the treatment of patients with acute non-variceal uppergastrointestinal bleeding, which has an important reference value in clinical field.