摘要
目的 分析对急性上消化道出血患者应用生长抑素与艾司奥美拉唑钠联合治疗的临床疗效的影响情况。方法 将 2016年8月-2017年10月期间我院收治的98例急性上消化道出血患者作为研究对象,采用随机数字表法分为对照组 (生长抑素治疗)和观察组(生长抑素与艾司奥美拉唑钠联合治疗),每组患者49例。对比治疗后患者的临床疗效 情况。结果 经治疗后,观察组患者的Blatchford评分(4.88±0.79)分、止血时间(24.51±5.29)h以及住院天数 (9.98±1.99)d明显优于对照组患者的Blatchford评分(6.55±0.45)分、止血时间(31.82±5.55)h以及住院天数 (13.24±2.19)d;观察组患者各血常规及凝血指标显著高于对照组患者的,差异均具有统计学意义(P<0.05)。结 论 对于急性上消化道出血患者,应用生长抑素与艾司奥美拉唑钠联合治疗,可及时止血,并有效消除炎症,提高 临床疗效。
Objective To investigate the clinical effect of somatostatin combined with Esomeprazole sodium in the treatment of acute upper gastrointestinal hemorrhage. Methods 98 cases with acute upper gastrointestinal hemorrhage in our hospital from August 2016 to October 2017 were selected as the study objects, they were randomly divided into the control group (somatostatin treatment) and the observation group (somatostatin combined with Esomeprazole sodium treatment), 49 cases in each group. Compare the clinical effect of the two groups. Results After treatment, Blatchford score, hemostasis time and hospital stay of the observation group [(4.88±0.79), (24.51±5.29)h, (9.98±1.99) d] were significantly better than those of the control group [(6.55±0.45), (31.82±5.55)h, (13.24±2.19)d], routine blood indexes and coagulation indexes of the observation group were significantly higher than those of the control group, the difference was statistic significant (P<0.05). Conclusion The application of somatostatin combined with Esomeprazole sodium in the treatment of acute upper gastrointestinal hemorrhage can stop the bleeding in time, reduce inflammation effectively, and improve the clinical effect.
【关键词】急性上消化道出血;生长抑素;艾司奥美拉唑钠;临床疗效
【中图分类号】R573.2;R975+.2
【文献标识码】A
【DOI】10.3969/j.issn.1009-3257.2019.01.021
前言
急性上消化道出血是临床高发的急症,患病部位 在屈氏韧带以上,致病因素较多。该疾病的主要临床 症状为黑便及呕血,疾病发作时,患者多可自我判 断。该疾病起病急,短时间内血容量急剧减低会导致 周围循环受损,如未及时给予止血,将对患者的生命 安全造成极大威胁[1]。临床对该疾病的主要治疗方案 为药物治疗,其中,生长抑素以及艾司奥美拉唑钠均 为止血的有效药物,为探究两种药物联合应用于该疾 病患者的治疗中的疗效情况,选取2016年8月~2017 年10月期间我院收治的98例急性上消化道出血患者作为研究对象,现将结果报告如下。
罕少疾病杂志
第26卷, 第 1 期
2019年01月
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