摘要
目的:探讨胃镜下局部注射去甲肾上腺素治疗上消化道出血的临床疗效及安全性。方法2012年2月~2014年1月我科收治的非食道静脉曲张上消化道出血患者62例作为研究对象,采用随机数字表法随机分为试验组30例和对照组32例。试验组给予胃镜下局部注射去甲肾上腺素,对照组给予胃肠减压、止血、抑酸等治疗。分析比较两组患者止血效果有无差别。结果试验组止血成功率为96.9%显著高于对照组80.0%(P<0.05);试验组呕血次数(0.51±0.33 vs 0.88±0.25)和黑便次数(2.22±1.04 vs 4.66±1.23)显著低于对照组,且差别有统计学意义(p<0.05)。结论胃镜下局部注射去甲肾上腺素治疗上消化道出血的临床疗效确切。
Objective The aim of this study was to evaluate the clinical ef icacy of local injection of norepinephrine under gastroscope in the treatment of upper gastrointestinal bleeding.Methods 62 case with upper gastrointestinal bleeding were included in this study from Feb 2012 to Jan 2014 in our hospital.And the included patients were randomized divided into experiment group with 30 subjects and control group with 32 cases.Patients in the control group were given regular treatment and patients in the control group were given local injection of norepinephrine under gastroscope.The clinical ef icacy and safety between the two groups were recorded and compared.Results The success rate of hemostasis were 96.9%and 80.0%in the experiment and control group respectively,which indicated the experiment group much higher than that of control groups(<0.05);The Hematemesis time and black stool time were much smal er in experiment group compared with that in control group(<0.05).Conclusion Local injection of norepinephrine under gastroscope had excellent clinical ef icacy in the treatment of pper gastrointestinal bleeding.
作者
铁晓军
雍海江
TIE Xiao-jun;YONG Hai-jiang(Department of Gastroenterology,Wuzhong City People's Hospital,Wuzhong 751100,Ningxia,China)
关键词
胃镜
上消化道出血
去甲肾上腺素
临床疗效
Gastroscope
Upper gastrointestinal bleeding
Norepinephrine
Clinical ef icacy
