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内镜下组织胶注射治疗高危消化性溃疡出血的临床分析

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目的 探讨内镜下组织胶注射治疗高危消化性溃疡出血的临床效果。方法 将2019年1月—2023年6月在本院消化内科治疗的60例高危消化性溃疡出血患者随机分为两组,每组30例。对照组使用内镜下注射1∶10000肾上腺素治疗,观察组使用内镜下注射组织胶治疗,对比两组的止血效果、一次性成功率及再出血率、并发症、各项治疗指标。结果 观察组治疗有效率明显高于对照组(P<0。05);两组一次性成功率相当(P>0。05);观察组再出血率、并发症发生率低于对照组(P<0。05);观察组止血时间、腹痛消失时间、胃肠功能恢复时间、住院时间均短于对照组(P<0。05)。结论 内镜下组织胶注射治疗高危消化性溃疡出血的临床效果显著,止血彻底,一次性成功率高,再出血率低,安全性好,明显缩短了止血及治疗时间。
Clinical Analysis of Endoscopic Tissue Gel Injection for High-Risk Peptic Ulcer Bleeding
Objective To explore clinical analysis of endoscopic tissue gel injection in treatment of high-risk peptic ulcer bleeding.Methods The paper chose 60 high-risk patients with peptic ulcer bleeding in gastroenterology department of our hospital from January 2019 to June 2023,and divided them into two groups randomly.Control group was treated with endoscopic injection of 1:10000 adrenaline,while observation group with endoscopic injection of tissue glue.Hemostatic effect,one-time success rate,rebleeding rate,complications,and various treatment indicators were compared between two groups.Results Effective rate of treatment in observation group was significantly higher than control group(P<0.05).One-time success rate between two groups was comparable(P>0.05),observation group had lower rate of rebleeding and complications than control group(P<0.05).Observation group had shorter hemostasis time,disappearance time of abdominal pain,recovery of gastrointestinal function,and length of stay than control group(P<0.05).Conclusion Endoscopic tissue gel injection can achieve significant clinical effect in treatment of high-risk peptic ulcer bleeding,with complete hemostasis,high one-time success rate,low rebleeding rate and good safety,whicn can shortern hemostasis and treatment time significantly.

High risk peptic ulcer bleedingEndoscopic tissue gel injection therapyClinical effect

邹成、徐金兰、王晓萌、袁娟、管玲玎、何忠秋

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盘州市人民医院 消化内科,贵州 六盘水 553537

高危消化性溃疡出血 内镜下组织胶注射治疗 临床疗效

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(16)