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1、内镜下注射治疗消化性溃疡出血的临床研究【摘要】目的分析比较内镜下注射1%乙氧硬化醇和内镜下注射1：100000肾上腺素治疗消化性溃疡出血的疗效及安全性。方法选自XX年7月至XX年7月因呕血和黑便入院,经急诊内镜检查确诊为消化性溃疡出血患者120例，随机分成治疗组和对照组各60例。治疗组采用注射1%乙氧硬化醇止血治疗，对照组采用注射1：100000肾上腺素止血治疗,两组患者均由同一位医师操作完成。结果治疗组止血成功率%(58/60),对照组止血成功率为%(53/57),两组比较差异无统计学意义(P»;治疗组与对照组止血成功后3h内再出血率分别为
2、％,%,差异无统计学意义，两组3〜24h内再出血率分别为％,%,两组比较差异有统计学意义。两组患者随访2个月再出血率分别为%(1/58),%(1/53),差异无统计学意义(P〉)；随访6个月均未发现再出血。均未发现与治疗相关的并发症。两组患者的外科手术率、住院天数和死亡率差别没有统计学意义。结论内镜下注射硬化剂与肾上腺素均是治疗消化性溃疡出血的安全有效方法，并且内镜下注射乙氧硬化醇治疗。【关键词】内镜治疗；消化性溃疡出血；硬化剂；肾上腺素ClinicalStudyofEndoscopicTreatmentinPatientswithPepti
3、cUlcerBleedingHOUYali,HUANGLiurtmentofGastroentengdingHospitalAffiye,LIUYunxiang.Deparology,YantaiYuhuacialedtomedicalcollegeofQingdaoUniversity,Shandong264000,China[Abstract]ObjectiveToevaluatetheeffectofendoscopicsclerosingaeatmentofPepticUlcFromJulyXXtoJulyXXematemesisan
4、d/orhedaspepticulcerbyimrerandomlydividedicopicaethoxysklerodendoscopicl：10000ion(n=60).Allthepaythesameendoscopishemostasisintherapthatincontrolgroupedingratesoftheearroupandcontrolgrou/53),respectively,gentinjectionfortrerBleeding.Methods,120patientswithhamatocheziadiagno
5、semediateendoscopywentotwogroups：endoslinjection(n二60)anOepinephrineinjecttientsweretreatedbt.ResultsTherateofygroupwas%(58/60),was%(P>).Therebleler3hinthetherapygpwere%(l/58)and%(2therewasnotsignificantdifferencEin(Patesbetween3hand24andcontrolgroupwere%(2/58)and%(9/53)ewa
6、ssignificantdifonthsoftheobservedeeding.Nocomplicatatmentoccurredinthicantdifferencesare2groupsinhospitaltality.ConclusionElerolinjectionandepinephrinEInjectioandsafemethodsintrleeding,andtheeffeisbetterthanepinepforfurtherapplication.[Keywords]>)・Therebleedingrhinthetherap
7、ygroup,respectively,therference(P).After6m,noonewasfoundreb1ionsrelatedwithtreetwogroupsofsignifeobservedbetweenthstay,surgeryandmorndoscopicaethoxyskndoscopicl：lOOOOOenwerebotheffectiveeatingpepticulcerbctofaethoxysklerolhrine,theydeservedEndoscopictherapy；Pepticulcerbleed
8、ing；Sclerosingagent；Epinephrine消化性溃疡出血是内科常见急症。内镜下注射止血对消化性溃疡出血有肯定的疗效，应用最为广泛［1,2］。内镜
