内镜下注射治疗消化性溃疡出血的临床研究.doc

内镜下注射治疗消化性溃疡出血的临床研究.doc内镜下注射治疗消化性溃疡出血的临床研究
【摘要】目的分析比较内镜下注射1%乙氧硬化醇和内镜下注射1:10 0000肾上腺素治疗消化性溃疡出血的疗效及安全性。方法选自2009年7月至2010年7月因呕血和(或)黑便入院,经急诊内镜检查确诊为消化性溃疡出血患者120例,随机分成治疗组和对照组各60例。治疗组采用注射1%乙氧硬化醇止血治疗,对照组采用注射1:10 0000肾上腺素止血治疗,两组患者均由同一位医师操作完成。%(58/60),%(53/57),两组比较差异无统计学意义(P>);治疗组与对照组止血成功后3 %(1/58),%(2/53),差异无统计学意义(P>),两组3~24 %(2/58),%(9/53),两组比较差异有统计学意义(P<)。%(1/58),%(1/53),差异无统计学意义(P>);随访6个月均未发现再出血。均未发现与治疗相关的并发症。两组患者的外科手术率、住院天数和死亡率差别没有统计学意义。结论内镜下注射硬化剂与肾上腺素均是治疗消化性溃疡出血的安全有效方法,并且内镜下注射乙氧硬化醇治疗。
【关键词】内镜治疗; 消化性溃疡出血;硬化剂;肾上腺素

Clinical Study of Endoscopic Treatment in Patients ent of Gastroenterology, Yantai Yu huangding Hospital Afficialed to medical college of Qingdao University, Shandong 264000, China
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【Abstract】 Objective To evaluate the effect of endoscopic sclerosing agent injection for treatment of Peptic Ulcer Bleeding. Methods From July 2009 to July 2010,120 patients atemesis and/or hematochezia diagnosed as peptic ulcer by immediate endoscopy ly divided into te endoscopist. Results The rate of hemostasis in therapy group onths of folloade for the tonths of the observed,no one ent occurred in the tortality. Conclusion Endoscopic aethoxysklerol injection and endoscopic 1:100000 epinephrinEInjection ethods in treating peptic ulcer bleeding,and the effect of aethoxysklerol is better