摘要
目的:探讨在肝硬化并发食管胃底静脉曲张破裂出血患者的治疗中采用内镜下联合治疗的效果。方法:选取2020年10月-2021年10月收治的肝硬化并发食管胃底静脉曲张破裂出血患者129例,按照治疗方法不同分为对照组(72例)和试验组(57例)。对照组给予常规治疗,试验组给予联合内镜治疗,对比两组患者治疗效果。结果:两组患者止血率和再出血发生率比较差异无统计学意义(P>0.05)。与对照组比较,试验组患者的规律用药、配合医嘱和满意度评分更高,治疗依从性更好,并发症发生率更低,差异有统计学意义(P<0.05)。结论:在肝硬化并发食管胃底静脉曲张破裂出血患者中应用内镜联合治疗方法,效果显著,有助于快速精准止血。
Objective: To explore the effect of endoscopic combined treatment in patients with liver cirrhosis complicated with esophageal and gastric fundus variceal bleeding. Methods: From October 2020 to October 2021, 129 patients with liver cirrhosis complicated with esophageal and gastric fundus variceal bleeding were selected. According to the treatment methods, the patients were divided into control group(72 cases) and experimental group(57 cases). The control group was given routine treatment, and experimental group was given endoscopic combined treatment. The therapeutic effects of patients in the two groups were compared.Results: There was no significant difference in the hemostatic rate and rebleeding rate between the two groups(P>0.05). Compared with the control group, the patients in the experimental group had higher scores of regular medication, cooperation with medical advice and satisfaction, better compliance and lower incidence of complications, the difference was statistically significant(P<0.05).Conclusion: Endoscopic combined treatment is significantly effective in patients with liver cirrhosis complicated with esophageal and gastric fundus variceal bleeding, which is helpful to quickly and accurately stop bleeding.
作者
吴云峰
付远敏
卢大秀
袁钢
Wu Yun-feng;Fu Yuan-min;Lu Da-xiu;Yuan Gang(The First People's Hospital of Zunyi(the Third Affiliated Hospital of Zunyi Medical University),Zunyi 563000,Guizhou Province,China;Bozhou District Hospital of Traditional Chinese Medicine,Zunyi 563100,Guizhou Province,China)
出处
《中国社区医师》
2022年第4期13-15,共3页
Chinese Community Doctors
关键词
内镜治疗
肝硬化并发食管胃底静脉曲张
止血效果
Endoscopic treatment
Liver cirrhosis complicated with esophageal and gastric fundus variceal bleeding
Hemostatic effect
