氩离子凝固术联合中药治疗上消化道出血的临床研究

目的]探讨内镜下氩离子凝固术（APC）联合自拟止血一号方治疗非静脉曲张性上消化道出血的临床疗效。方法]对120例确诊为非静脉曲张性上消化道出血患者，在内镜下行APC止血，予以质子泵抑制剂、静脉补液等常规治疗后，随机分为2组：治疗组（60例），在常规治疗的基础上加用自拟止血一号方煎剂口服；对照组（60例）仅予常规治疗。比较2组治疗总有效率及再出血率、死亡率、输血量、平均住院日、住院费用等指标。结果]治疗组和对照组的总有效率分别为96．61％和88．33％（P〈0.05）；再出血率为3．33％和11．67％（P〈0.05）；死亡率为1．67％和5．00％（P〈0.05）；输血量为（2．34±2．05）U和（4．35±3．45）U（P〈0．05）；平均住院日为（10．59±4．88）d和（15．79±8．00）d（P〈0．05）；住院费用为（8．16±1．43）千元和（13．35±1．91）千元（P〈0．05）。结论]APC联合中药治疗上消化道出血是一种疗效显著、死亡率及输血量低、住院天数短、经济实惠的治疗方法。

Clinical study on argon plasma coagulation combined with traditional Chinese medicine in treating upper gastrointestinal bleeding

Objective]To study the effect of argon plasma coagulation(APC)combined with hemostatic formula on the varices upper gastrointestinal bleeding.Methods]One-hundred and twenty patients diagnosed as the varices upper gastrointestinal bleeding were treated with APC under endoscopy,and then received conventional therapy,e.g.PPI,intravenous rehydration,etc.The patients were randomly divided into two groups,treatment group(n=60)administrated with hemostatic formula besides routine treatment and the control group(...