摘要
目的 分析胃镜下活检出血喷洒凝血酶+去甲肾上腺素的效果。方法 选取本院于2022年1月-2022年8月期间收治的76例胃镜下活检出血患者设为研究对象。采取随机数字表法分为两组，其中一组为参考组（n=38），本组接受喷洒甲肾上腺素治疗，另一组为实验组（n=38），本组接受喷洒凝血酶+去甲肾上腺素治疗。对上述两组的治疗效果予以观察对比。结果 实验组治疗有效率高于参考组（P＜0.05）。实验组胃镜下活检出血的凝血时间低于参考组（P＜0.05）。结论 在胃镜下活检出血中采取喷洒凝血酶+去甲肾上腺素的效果显著，能够起到较好的止血效果，缩短出血的凝血时间，减少胃镜活检后的出血量，同时具有安全快速的特点。
关键词： 胃镜下活检出血；凝血酶；去甲肾上腺素；治疗有效率；凝血时间；临床观察
Abstract
Objective: To analyze the effect of spraying thrombin+norepinephrine on biopsy bleeding under gastroscope. Methods: 76 patients with gastroscopic biopsy bleeding admitted in our hospital from January 2022 to August 2022 were selected as the study objects. Randomized number table method was used to divide the patients into two groups. One group was the reference group (n=38), and the other group was the experimental group (n=38). The other group was treated by spraying thrombin+norepinephrine. The therapeutic effects of the two groups were observed and compared. Results: The effective rate of the experimental group was higher than that of the reference group (P<0.05). The clotting time of biopsy bleeding under gastroscope in the experimental group was lower than that in the reference group (P<0.05). Conclusion : Spraying thrombin+norepinephrine has a significant effect on bleeding during gastroscopic biopsy, which can play a better hemostatic effect, shorten the blood coagulation time of bleeding, reduce the amount of bleeding after gastroscopic biopsy, and has the characteristics of safety and speed.
Key words： Bleeding by biopsy under gastroscope; Thrombin; Noradrenaline; Effective rate of treatment; Coagulation time; clinical observation
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