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- Title
内镜下金属夹联合多项方法治疗食管胃底静脉曲张 破裂出血的疗效评价研究.
- Authors
冯 刚; 饶正伟; 陈 琛; 付 谦; 李 琴; 姚 哲; 庹必光
- Abstract
Objective To explore the clinical efficacy of endoscopic metal clips combined with sclerosis, embolization and ligation, ect. in the treatment of esophagogastric varices bleeding (EGVB). Methods Seventy-eight patients with EGVB admitted to the Gastroenterology Department of Bozhou District People's Hospital of Zunyi City from February 2014 to December 2018 were selected and divided into endoscopic metal clip combined with sclerotherapy, embolization and variceal ligation and medical drug treatment group (combined treatment group, 39 cases) and medical drug treatment group (control group, 39 cases), collecting and comparing clinical data of patients (effective rate of hemostasis, recent rebleeding rate, long-term rebleeding rate, mortality rate, hospitalization time and hospitalization cost, etc.). Results The hospitalization time and hospitalization costs of patients with EGVB in the combined treatment group were significantly lower than those in the control group, and the differences were statistically significant (P <0.01). The effective rate of hemostasis of patients with EGVB in the combined treatment group was significantly higher than that in the control group, but the recent rebleeding rate, long-term rebleeding rate and mortality rate of the patients with EGVB in the combined treatment group were lower than those in the control group, and the differences were statistically significant (P <0.05). Conclusion Metal clips combined with sclerosis, embolization and ligation combined with medical drugs for the treatment to EGVB have a good effect, which can reduce the risk of rebleeding, reduce the mortality of patients, shorten the length of hospital stay, and reduce the cost of hospitalization. It is superior to medical medicine alone, and which is worth promoting in primary hospital.
- Publication
Journal of Modern Medicine & Health, 2020, Vol 36, Issue 18, p2877
- ISSN
1009-5519
- Publication type
Article
- DOI
10.3969/j.issn.1009-5519.2020.18.016