奥曲肽持续静脉输入治疗上消化道出血60例疗效观察.pdf

现代医药卫生2∞8 年 24 卷第 18 期 2701 奥曲肤持续静脉输入治疗上消化道出血60例疗效观察 彰东乎1 ，谢鸿恩2 ，凌应*2 (1.韶关武江眩，人民院院，广东韶关 512ω0;2.韶关帘粤北第二人民医院，广点韶关 512ω0) {铺票l 目的:探讨奥曲肤持续静脉输入治疗上消化道出血的疗效。方法:将 60例上消化道出Jfo.患者，随机分为治疗组(38例)和 对照组(22例) ，治疗组为奥幽敝联合奥美投自费组，对照组为单用奥美拉略组，观察两组的止血效果。结果:用药3-5天后，治疗组止血 有效指标较对照组差异有显著性(PO.05) 。结论:奥幽肤联合奥羡拉噬治疗上消化道出血有显著疗效，较单用奥荧拉略有止血速度 侠、输血霸减少、早期再出Jfo.发生率低的特点。 [关键诩]上消化道:奥曲肤;奥美拉嗖;持续静脉输入 文章编号:H阴阳5519(2∞8)18-2701-02 中图分类略:旧 文献标识确地 Observati.on .on tbe curative eft四1 t of octreotideωn仙lU.o皿恤衍aveno四10ft皿.00 intbe 衍蛐伽ent of upper diges锐ve tract hem.orrbage inω 佣附 2 PENGDo.咿pi旷， XIE Ho唔-en ，LlNG Ying-bìnj (l.Wujìang Peop的Hospital ofShao伊础，s，阳咿棚 ,China;2. The Second People$ Hospital ofYuebei ， Shω伊础 .China) [Abstract]Objec创刊:T.o讪vestigate the curative effect of ∞treotide continuous intravenous infusion 切 the t.reatment of upper dig脚 tive tract hemo时lage.Metb.ods :ωpatients wi出 upper digestive 田ct hemoηhage were randomly divided inωtwo groups.38 cases in the 悦且恤ent 伊川p were t.reated wi曲。咄咄tideωmbined with .omeprazole ,while 22 ca销售 in the control 伊oup .only with omeprazole ,their hemostati口 effects were .observed.民翩翩:Compared with the control 伊up in 3-5 days 础er administrati.on. the 嗣atment group had s地­ nifi咀nt difference 扭曲e effective indices of hemostasis (PO.05).Cond旧ioo:咀le curative efIect of ∞t.reotide combined wi由 omeprazole 切 upper digestive 阳ct hem.orrhage is si伊泊canllt has the following fe刷刷刷。h as quick hemostasis ,fewer ven.ous 阳nsfusi.on 削dl酬 。ccurrence ra怡。fe町iy re-hemorrhage com阳red with 也at of omeprazole 脚d alone. [Key words]Upμr digestive tract; Oc恤岳出;Omeprazole ;Continuous in恤.venous infusion 上消化道出血是临床上常见的内科急重症，病因复杂，病 岁，平均(47士6.3)