肝硬化并发上消化道出血的临床解析.docVIP

精品论文 参考文献 肝硬化并发上消化道出血的临床解析 贵阳市第六人民医院 贵州贵阳 550000 摘要：目的：观察并分析肝硬化并发上消化道出血的临床治疗方法及效果。方法：随机抽取所在医院91例肝硬化并发上消化道出血患者，根据其临床治疗方法进行分组，观察组采用奥美拉唑+生长抑素+垂体后叶素疗法，对照组采用压迫止血疗法进行治疗，比较2组患者临床治疗效果。结果：观察组治疗总有效率为95.56%，明显高于对照组（80.43%），2组疗效差异显著（P＜0.05）；观察组止血时间、住院时间明显低于对照组，2组差异具有统计学意义（P＜0.05）；观察组再出血发生率、并发症发生率分别为为4.44%、2.22%，明显低于对照组（17.39%、21.74%），2组差异显著（P＜0.05）。结论：肝硬化并发上消化道出血病情比较危急，采用奥美拉唑+生长抑素+垂体后叶素疗法的治疗效果显著。 关键词：肝硬化；上消化道出血；奥美拉唑 Clinical analysis of upper gastrointestinal bleeding in patients with liver cirrhosis Li Li The Sixth Peoples Hospital of Guiyang City，Guiyang，Guizhou 550000 [Abstract] Objective：To observe and analyze the clinical treatment methods and results of liver cirrhosis complicated with upper gastrointestinal bleeding.Methods：randomly selected hospital in 91 patients with liver cirrhosis complicated with upper gastrointestinal hemorrhage patients，according to the clinical treatment group，the observation group used omeprazole and somatostatin and pituitary lobe hormone therapy，control group were treated with compression hemostasis therapy，compared two groups of patients near bed treatment effect.Results：in the observation group total efficiency was 95.56%，significantly higher than that in control group（80.43%），the difference of the efficacy of the two groups is significant（P lt; 0.05）；observation group bleeding time，length of hospital stay was significantly lower than that of the control group，the difference between the two groups with statistical significance（P lt; 0.05）；observation group rebleeding rate and complication rate of 4.44%，2.22%，respectively，significantly lower than control group（17.39%，21.74%），the difference between the 2 groups was significantly（P lt; 0.05）.Conclusion：the disease of upper digestive tract hemorrhage in liver cirrhosis is more critical，and the therapeutic effect of omeprazole combined with somatostatin and pituitary hormone therapy is obvious. [Key words] liver cirrhosis；upper gastrointestinal bleeding；omeprazole 【引 言】 上消