首页|在内镜下治疗消化性溃疡并发上消化道出血的临床疗效

在内镜下治疗消化性溃疡并发上消化道出血的临床疗效

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目的 探讨肾上腺色腙片联合内镜下用药治疗消化性溃疡(PU)并发上消化道出血(UGIB)的临床疗效。方法 选取 2020 年 10 月至 2022 年 6 月深圳市龙华区人民医院收治的 74 例PU并发UGIB患者作为研究对象,按随机数字表法分为观察组与对照组,各37 例。对照组予以内镜下用药治疗,观察组在对照组基础上加用肾上腺色腙片口服治疗,比较两组的治疗效果。结果 观察组治疗有效率97。30%较对照组78。38%高,差异有统计学意义(P<0。05)。观察组住院时间、止血时间、腹痛缓解时间较对照组短,输血量较对照组少,差异有统计学意义(P<0。05)。两组治疗前血清C反应蛋白(CRP)、白细胞介素-1(IL-1)水平比较差异无统计学意义(P>0。05);治疗后,观察组血清CRP、IL-1 水平均低于对照组(P<0。05)。观察组与对照组不良反应发生率比较差异无统计学意义(P>0。05)。结论 对PU并发UGIB患者采用肾上腺色腙片联合内镜下用药治疗,可明显缩短止血时间,减轻炎症反应,快速缓解临床症状,且安全性较高。
Clinical Effect of Endoscopic Treatment of Peptic Ulcer complicated with Upper Gastrointestinal Bleeding
Objective To explore the clinical efficacy of adrenolizone tablets combined with endoscopic administration in the treatment of peptic ulcer(PU)complicated by upper gastrointestinal hemorrhage(UGIB).Methods A total of 74 patients with PU complicated UGIB admitted to Longhua District People's Hospital of Shenzhen City from October 2020 to June 2022 were selected as the study objects,and were divided into observation group and control group according to random number table method,with 37 cases in each group.The control group was given endoscopic treatment,and the observation group was given oral treatment with adrenal hydrazone tablets on the basis of the control group,and the therapeutic effects of the two groups were compared.Results The effective rate of observation group was 97.30%higher than that of control group 78.38%,the difference was statistically significant(P<0.05).The hospitalization time,hemostatic time and abdominal pain relief time in observation group were shorter than those in control group,and the blood transfusion volume was less,the difference was statistically significant(P<0.05).There was no significant difference in serum C-reactive protein(CRP)and interleukin-1(IL-1)levels between the two groups before treatment(P>0.05).After treatment,serum CRP and IL-1 levels in observation group were lower than those in control group(P<0.05).There was no significant difference in the incidence of adverse reactions between the observation group and the control group(P>0.05).Conclusion For PU patients complicated with UGIB,adrenal hydrazone tablets combined with endoscopic medication can significantly shorten the hemostasis time,reduce inflammation,and quickly relieve clinical symptoms,with high safety.

EndoscopyAdrenohydrazone tabletPeptic ulcerUpper gastrointestinal hemorrhage

陈丽、常青霞、陈少銮

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深圳市龙华区人民医院消化内科,广东深圳 518000

内镜 肾上腺色腙片 消化性溃疡 上消化道出血

2024

中国药物经济学
中国中医药研究促进会

中国药物经济学

影响因子:0.712
ISSN:1673-5846
年,卷(期):2024.19(6)