内镜下可反复开闭金属夹在急性非静脉曲张性上消化道出血治疗中应用探究.doc

内镜下可反复开闭金属夹在急性非静脉曲张性上消化道出血治疗中应用探究 　　【摘要】 目的：分析?染迪滦滦涂煞锤纯?闭金属夹在急性非静脉曲张性上消化道出血治疗中的可行性。方法：选取2015年8月1日-2017年1月31日来本院就诊的92例急性非静脉曲张性上消化道出血患者为研究对象，随机分为观察组和对照组，各46例。观察组的治疗方式为新型可反复开闭金属夹止血，对照组为内镜下金属夹止血，观察比较两组的术后即时止血率、有效止血率、彻底止血率、出血复发率、术后并发症发生情况。结果：观察组术中即时止血率为100%，明显高于对照组91.30%，差异有统计学意义（P0.05）。观察组病死率为2.17%，对照组为4.35%，两组比较差异无统计学意义（P0.05）。结论：内镜下新型可反复开口金属夹能显著降低急性非静脉曲张性上消化道出血再发出血风险，提高止血率，治疗效果更为稳定、可靠，可在临床推广使用 【关键词】 内镜； 止血； 可反复开闭金属夹； 复发； 急性非静脉曲张性上消化道出血 The Application Study of Endoscopic Treatment with New Re-open Titanium Clips of Acute Non-variceal Upper Gastrointestinal Bleeding/CHEN Xiao-chun，CHEN Gui-quan，CHEN Bi-ru，et al.//Medical Innovation of China，2017，14（15）：027-030 【Abstract】 Objective：To analyze the feasibility of endoscopic re-open hemoclip in the treatment of acute non-variceal upper gastrointestinal hemorrhage.Method：92 patients with acute non-variceal upper gastrointestinal bleeding in our hospital from August 1，2015 to January 31，2017 were selected as the research objects，they were randomly divided into observation group and control group，46 cases in each group.The observation group was treated with endoscopic re-open hemoclip，the control group was treated with ordinary endoscopic hemoclip，the immediately hemostasis rate，the effective hemostasis rate，the complete hemostasis rate，recurrence rate of bleeding and complications after operation of two groups were observed and compared.Result：The immediately hemostasis rate of the observation group was 100%，higher than 91.30% of the control group，the difference was statistically significant（P0.05）.The mortality of the observation group was 2.17%，the control group was 4.35%，there was no significant difference between the two groups（P0.05）.Conclusion：Endoscopic re-open hemoclip treatment can significantly reduce the risk of recurrence，improve the rate of hemostasis rate，the treatment effect is more stable and reliable，and can be popularized in clinic. 　　【Key words】 Endoscopy； Hemostasis； Re-open clip； Recurrence rat