赵海霞

摘  要：目的  本次实验将以分析胃溃疡出血的临床治疗中采用消化内镜合并四联疗法应用效果为目的。方法  本次实验将选取2018年1月～2020年1月期间前来菏泽市第二人民医院就诊的胃溃疡出血患者作为试验对象，共计选取180位。采用奇偶数序号分组的方式将其分为观察组和对照组，每组各90例。其中对照组患者将采用左氧氟沙星、阿莫西林、枸橼酸铋钾以及兰索拉唑四联疗法进行治疗，而观察组患者则在对照组的基础上采用消化内镜治疗，对比两组患者的临床治疗效果。结果  通过试验数据对比可知，治疗之后观察组的治疗总有效率显著高于对照组;观察组患者治疗途中并发症发生率显著低于对照组;观察组患者的消失时间短于对照组，以上差异均有统计学意义（P<0.05）。结论  通过试验结果来看，对于胃溃疡出血患者采用消化内镜合并四联疗法治疗的效果显著，其能够有效降低再出血发生率，临床应用价值显著，可进行临床应用。

关键词：消化内镜治疗;四联疗法;胃溃疡出血;再出血

中图分类号：R573.1    文献标识码：A    文章编号：1009-8011（2021）-7-0013-03

Abstract： Objective  This experiment is to analyze the effect of endoscopy combined with quadruple therapy in the clinical treatment of gastric ulcer bleeding. Methods  From January 2018 to January 2020， 180 patients with gastric ulcer bleeding were selected. It was divided into observation group and control group， 90 cases in each group. The patients in the control group were treated with levofloxacin， amoxicillin， bismuth potassium citrate and lansoprazole， while the patients in the observation group were treated with digestive endoscopy on the basis of the control group， and the clinical effects of the two groups were compared. Results  According to the comparison of experimental data， the total effective rate of treatment in the observation group was significantly higher than that in the control group（P<0.05）. The incidence of complications in the observation group was significantly lower than that in the control group（P<0.05）. And the time of disappearance and total medication in the observation group were shorter than those in the control group， and the difference between the two groups was statistically significant（P<0.05）. Conclusion  Through the experimental results， the effect of endoscopy combined with quadruple therapy on patients with gastric ulcer bleeding is remarkable， which can effectively reduce the incidence of rebleeding， and its clinical application value is remarkable， which can be widely popularized.

Keywords： endoscopic treatment; quadruple therapy; gastric ulcer bleeding; rebleeding

胃潰疡出血是溃疡病的一种较为常见的并发症其主要临床症状为贫血、便血、呕血等症状，并且该疾病具有发病急、病死率高的特征，会对患者的身心健康以及生命安全造成严重的威胁[1]。因此，必须深入的分析胃溃疡再出血的相关因素，才能为患者提供有效合理的处理方案，进而改善患者的预后。目前，在内科临床当中通常会使用非手术治疗的方式来实现止血的效果，主要包括一般治疗、药物治疗、输血补液、止血处理方法等[2]。但是单纯的药物治疗无法彻底改善患者的出血症状，其出现再出血的发生率较高，治疗效果不是很理想。……