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3种内镜下止血方法治疗非静脉曲张性消化道出血的疗效
作者:李松湖 黄显光 林晓东 来源:《上海医药》2024年第09期
摘 要 目的:比较3种内镜下止血方法在治疗非静脉曲张性消化道出血中的临床疗效。方法:选取非静脉曲张性消化道出血患者120例,按照止血方法的不同分为A组(注射肾上腺素止血)、B组(高频电凝止血)、C组(钛夹止血)各40例,比较3组患者的临床疗效。结果:C组治疗后呕吐消失时间、肠鸣音恢復时间、粪便潜血转阴时间、引流管变清时间、平均住院时间比A、B组明显缩短;即时止血率、有效止血率明显优于A、B组;1周内再次出血率明显少于A、B组(P
关键词 非静脉曲张性消化道出血 钛夹止血 肾上腺素 高频电凝
中图分类号:R573.2 文献标志码:A 文章编号:1006-1533(2024)09-0050-03 A comparative study of three endoscopic hemostasis methods in the treatment of non-variceal gastrointestinal bleeding*
LI Songhu**, HUANG Xianguang, LIN Xiaodong
(Department of Gastroenterology, Dongguan Kanghua Hospital, Guangdong Dongguan 523080, China)
ABSTRACT Objective: To compare the clinical efficacy of three endoscopic hemostasis methods in the treatment of nonvariceal gastrointestinal bleeding. Methods: One hundred and twenty patients with non-variceal gastrointestinal hemorrhage were divided into group A (adrenaline injection hemostasis), group B (high frequency electrocoagulation hemostasis), group C(titanium clip hemostasis) with 40 cases each based on the different hemostasis methods. The clinical effects were observed and compared among the three groups. Results: The times for vomiting disappearance, intestinal sounds recovery, fecal occult blood negative conversion, drainage tube clearance and average hospitalization were significantly shorter in group C than group A and B (P
KEy WORDS non-variceal gastrointestinal bleeding; titanium clip hemostasis; adrenaline; high frequency electrocoagulation