首页|奥美拉唑联合血凝酶治疗消化道出血效果及对凝血功能的影响分析

奥美拉唑联合血凝酶治疗消化道出血效果及对凝血功能的影响分析

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目的 浅析奥美拉唑联合血凝酶治疗消化道出血效果及对凝血功能的影响.方法 非随机选取2022年11月—2023年11月湖南省人民医院收治的80例上消化道出血患者作为研究对象,根据治疗方式不同分为对照组和观察组,每组40例.对照组给予奥美拉唑;观察组在奥美拉唑基础上联合矛头蝮蛇血凝酶.比较两组止血时间、再出血率、血清学指标、凝血功能指标和治疗有效率的差异.结果 观察组止血时间短于对照组,再出血率低于对照组,差异有统计学意义(P均<0.05);治疗前,两组血清学指标比较,差异无统计学意义(P均>0.05),治疗后,两组血清学指标均较之前改善,且观察组优于对照组,差异有统计学意义(P均<0.05);观察组治疗有效率为100.00%(40/40),高于对照组的82.50%(33/40),差异有统计学意义(χ2=5.636,P<0.05).结论 奥美拉唑联合矛头蝮蛇血凝酶治疗消化道出血,有助于改善机体生长因子水平,降低炎症反应,修复凝血功能,整体疗效与预后理想.
The Impact Analysis of Omeprazole With Hemocoagulase on the Treat-ment Effects and Coagulation Function for Gastrointestinal Bleeding Pa-tients
Objective To analyze the effect of omeprazole combined with hemocoagulase in the treatment of gastrointes-tinal bleeding and its effect on coagulation function.Methods A total of eighty patients with upper gastrointestinal bleeding admitted to Hunan Provincial People's Hospital from November 2022 to November 2023 were non-randomly selected as the study subjects.According to different treatment methods,they were divided into control group and ob-servation group,with fourty cases in each group.The control group was given omeprazole;the observation group was combined with hemocoagulase on the basis of omeprazole.The hemostatic time,rebleeding rate,serological indicators,coagulation function indicators and treatment efficiency were compared between the two groups.Results The hemosta-sis time of the observation group was shorter than that of the control group,and the rebleeding rate was lower than that of the control group,the differences were statistically significant(both P<0.05).Before treatment,there was no statisti-cally significant differences in serological indexes between the two groups(all P>0.05).After treatment,serological in-dexes of the two groups were improved,and the observation group was better than the control group,the differences were statistically significant(all P<0.05).The effective rate of the observation group was 100.00%(40/40),which was higher than 82.50%(33/40)of the control group,the difference was statistically significant(χ2=5.636,P<0.05).Con-clusion Omeprazole combined with hemocoagulase in the treatment of gastrointestinal bleeding is helpful to improve the level of growth factor,reduce the inflammatory reaction,repair the coagulation function,and the overall curative ef-fect and prognosis are ideal.

Gastrointestinal bleedingHemocoagulaseOmeprazoleCoagulation function

刘姝灵、周明

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湖南省人民医院血液科,湖南 长沙 410000

消化道出血 血凝酶 奥美拉唑 凝血功能

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(16)