|
|
Clinical effect of Octreotide combined with gastroscopic intervention in the treatment of peptic ulcer with upper gastrointestinal hemorrhage |
WU Ke |
Department of Gastroenterology,Central Hospital of Liaoyang City,Liaoning Province,Liaoyang 111000,China |
|
|
Abstract Objective To explore the clinical effect of Octreotide combined with gastroscopy in the treatment of peptic ulcer with upper gastrointestinal hemorrhage.Methods Eighty-two patients with peptic ulcer and upper gastrointestinal hemorrhage admitted to the hospital from June 2017 to June 2019 were selected as subjects and divided into observation group and control group according to the random number table method,with 41 cases in each group.Control group was given gastroscopic intervention,and observation group was combined with Octreotide on this basis,and both groups were given basic treatment.The clinical efficacy,stopping time of hematemesis,hospital stay,rebleeding rate within 48h and occurrence of adverse reactions were observed and compared between the two groups.Results The total effective rate of clinical treatment in observation group was higher than that in control group,the difference was statistically significant (P<0.05).The stopping time of hematemesis and hospital stay in observation group were shorter than those in control group,the differences were statistically significant (P<0.05).The 48 h rebleeding rate in observation group was lower than that in control group,the difference was statistically significant (P<0.05).There was no statistically significant difference in the total incidence rate of adverse reactions between the two groups (P>0.05).Conclusion Octreotide combined with gastroscopic intervention has good clinical effect,early stopping of hematemesis,short hospital stay and low rebleeding rate within 48 h in the treatment of peptic ulcer with upper gastrointestinal hemorrhage,thus it is worthy of popularization and application.
|
|
|
|
|
[1] |
王锦萍,崔毅,王锦辉,等.上消化道出血15年临床流行病学变化趋势[J].中华胃肠外科杂志,2017,20(4):425-431.
|
[2] |
Busch M,Schneider A,Lankisch T,et al.Acute hemorrhage in the upper gastrointestinal tract[J].Internist,2017,58(3):1-6.
|
[3] |
中国医师协会急诊医师分会.急性上消化道出血急诊诊治流程专家共识[J].中国急救医学,2015,35(10):865-873.
|
[4] |
丹珠永吉,刘芝兰,禄艳艳.内镜下电凝、钛夹联合注射肾上腺素治疗消化性溃疡出血的临床疗效[J].中国老年学杂志,2019,39(9):2133-2135.
|
[5] |
涂家红,张明清,赵斌.危险性急性上消化道出血141例临床诊治分析[J].中华急诊医学杂志,2018,27(5):518-523.
|
[6] |
胡佳辰.危险性消化道出血的急诊临床诊治与临床思维[J].中国急救医学,2017,37(5):467-471.
|
[7] |
颜世辉,张宇翔.上消化道出血胃镜下不同方法止血治疗效果比较观察[J].人民军医,2017,60(6):574-575,585.
|
[8] |
张翠禄,周国永,陈桥清.消化内镜治疗上消化道出血的临床效果[J].中国当代医药,2017,24(2):26-28.
|
[9] |
罗哲,付山峰,闫志辉,等.消化性溃疡伴出血的特征及危险因素分析[J].胃肠病学和肝病学杂志,2017,26(5):543-547.
|
[10] |
孙广红.埃索美拉唑与奥美拉唑四联疗法对消化性溃疡合并幽门螺杆菌感染患者预后及生活质量影响对比研究[J].山西医药杂志,2018,47(17):49-51.
|
[11] |
华勇.消化性溃疡患者血清胃蛋白酶原、胃泌素、Ⅰ型胶原氨基端前肽和肿瘤坏死因子-α的变化与幽门螺杆菌感染的关系[J].国际消化病杂志,2018,38(5):348-351.
|
[12] |
刘晓艳,赵亚静,卢英.内镜下电凝与钛夹治疗重症消化性溃疡出血的疗效对比[J].广西医科大学学报,2017,34(9):1384-1386.
|
[13] |
王万杰.奥曲肽联合泮托拉唑治疗急性消化道出血的临床疗效观察[J].中国全科医学,2016,19(S1):189-190.
|
[14] |
颜小丹,周金虎.奥曲肽联合泮托拉唑治疗老年消化性溃疡合并上消化道出血的疗效及对凝血功能和炎症因子的影响[J].中国老年学杂志,2018,38(12):2902-2904.
|
[15] |
杨松涛,何琴,彭刚.奥曲肽辅助胃镜介入治疗消化性溃疡伴上消化道出血的疗效[J].中国临床研究,2018,31(9):48-51.
|
|
|
|