内镜下钛夹与药物注射治疗急性非静脉曲张性上消化道出血的效果比较

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Abstract Objective To compare the therapeutic effect of endoscopic titanium clip and drug injection in the treatment of acute non-varicose upper gastrointestinal bleeding (NVUGIB).Methods The clinical data of 100 patients with acute NVUGIB treated in Qingyuan Hospital of Traditional Chinese Medicine from January 2015 to March 2019 were retrospectively analyzed.They were divided into group A and group B according to different treatment methods, 57 cases in group A were treated with endoscopic titanium clip hemostasis and 43 cases in group B were treated with epinephrine injection.The hemostatic effect, surgical operation, blood transfusion volume, recovery rate and adverse reactions were compared between group A and group B.Results The immediate hemostasis rate and effective hemostasis rate of group A were higher than those of group B, the rebleeding rate and surgical operation rate after 72 hours were lower than those of group B, the blood transfusion volume was less than that of group B, and the recovery time of bowel sounds and hospitalization days were shorter than those of group B, with statistical differences (P＜0.05).There were no serious adverse reactions in group A and group B.Conclusion Compared with drug injection, the application of endoscopic titanium clip in the treatment of acute NVUGIB patients can improve the hemostasis effect, reduce the amount of surgical operation and blood transfusion, and accelerate the recovery rate.

Key words： Endoscopic titanium clip Adrenaline Acute non-variceal upper gastrointestinal hemorrhage

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	Articles by authors
	WANG Xue-qi
	LIN Xing-di
	ZHI Guan-guang
	HUANG Xiao-qiao

Cite this article:

WANG Xue-qi,LIN Xing-di,ZHI Guan-guang, et al. Effect comparison of endoscopic titanium clip and drug injection in the treatment of acute non-variceal upper gastrointestinal bleeding[J]. 中国当代医药, 2020, 27(11): 42-44.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2020/V27/I11/42

[1]	沈雯雯，张玫，和芳.北京部分地区10年中青年和老年上消化道出血病因流行病学分析及经济负担研究[J].中国临床医生杂志，2018，46（12）：22-26.
[2]	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（20）：431.
[3]	张献文，竹建强，冯凯祥.内镜下钛夹联合药物治疗非静脉曲张性上消化道出血的止血效果及机体的应激和炎症程度评估[J].海军医学杂志，2017，38（1）：46-49.
[4]	谢巧玉，林霖.胃镜下注射肾上腺素联合钛夹治疗急性非静脉曲张性上消化道出血的临床效果[J].国际消化病杂志，2017，37（6）：392-395.
[5]	付强.消化性溃疡出血患者进行内镜下Forrest 分级的临床意义[J].世界最新医学信息文摘，2017，17（9）：80.
[6]	《中华内科杂志》编委会，《中华消化杂志》编委会.急性非静脉曲张性上消化道出血诊治指南（2009，杭州）[J].中华内科杂志，2009，48（10）：891-894.
[7]	Asokkumar R，Soetikno R，Sanchez-Yague A，et al.Use of over-the-scope-clip （OTSC）improves outcomes of high-risk adverse outcome （HR-AO） non-variceal upper gastrointestinal bleeding （NVUGIB）[J].Endosc Int Open，2018，6（7）：E789-E796.
[8]	Choi JW，Jeon SW，Kwon JG，et al.Volume of hospital is important for the prognosis of high-risk patients with nonvariceal upper gastrointestinal bleeding （NVUGIB）[J].Surg Endosc，2017，31（8）：3339-3346.
[9]	杨利萍，江梅，李汀，等.内镜下金属钛夹与注射止血治疗急性非静脉曲张性上消化道出血疗效观察[J].现代消化及介入诊疗，2017，22（5）：707-709.
[10]	陈碧茹，陈桂权，陈晓春，等.内镜下Resolution 金属夹联合黏膜下注射肾上腺素治疗急性非静脉曲张性上消化道出血效果观察[J].山东医药，2018，58（34）：60-62.
[11]	匡大鹏.胃镜下不同止血方式治疗急性非静脉曲张上消化道出血的回顾性分析[J].现代消化及介入诊疗，2017，2（3）：346-348.
[12]	关富，陈钟，卢嘉臻，等.内镜下OTSC 吻合夹治疗急性非静脉曲张性上消化道出血的疗效[J].中华胃肠外科杂志，2017，20（8）：937-938.
[13]	黄志寅，魏波，王瑞，等.急性非静脉曲张性上消化道出血[J].中华消化杂志，2017，37（12）：856-858.
[14]	韩东.胃镜下不同给药方法治疗急性非静脉曲张性上消化道出血的疗效对比[J].现代医学，2017，45（5）：698-700.
[15]	韩登科，陈先社.内镜下金属钛夹与注射止血治疗急性非静脉曲张性上消化道出血的临床对照研究[J].现代消化及介入诊疗，2017，22（3）：385-387.
[16]	原姗姗，张欣，闫媛，等.内镜及TIPS 治疗特发性非肝硬化门脉高压并静脉曲张出血的长期效果及预后分析[J].胃肠病学和肝病学杂志，2017，26（10）：1170-1173.