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目的观察胃镜直视下直接给药治疗上消化道出血的疗效。方法 139例上消化道出血患者随机分为治疗组67例(内镜下喷药组)与对照组72例(常规治疗加口服止血药物组)。结果内镜下喷药止血治疗上消化道出血组总有效率为92.5%,未行内镜下喷药止血治疗组总有效率为81.9%,两组比较,总有效率治疗组优于对照组。结论内镜下喷药止血治疗上消化道出血可以明显提高疗效,是治疗上消化道出血的一种安全、经济、有效、有前途的方法。
Objective To observe the efficacy of direct administration under endoscopy in the treatment of upper gastrointestinal bleeding. Methods A total of 139 patients with upper gastrointestinal bleeding were randomly divided into treatment group (67 cases) and control group (72 cases) (conventional treatment plus oral hemostatic drug group). Results The total effective rate of endobronchial hemostasis in the treatment of upper gastrointestinal bleeding was 92.5%, and the total effective rate was 81.9% in the untreated group. The total effective rate in the treatment group was better than that in the control group . Conclusion It is a safe, economical, effective and promising method for the treatment of upper gastrointestinal bleeding by endoscopic spraying hemostasis in the treatment of upper gastrointestinal bleeding.