内镜粘合剂注射与内镜人类血栓注射治疗出血的胃 - - 一项随机对照试验
Ashok Jhajharia1, Prachis Ashdhir, Gireesh Dhaked
1Department of Gastroenterology, SMS Medical College and Hospital, Jaipur, Rajasthan, India.
Journal of clinical gastroenterology
|November 20, 2023
概括
内視鏡注射人體血栓激素有效地治療急性胃水出血 (AGVB),比膠注射更少的并發症. 在AGVB患者中,血素显示出可比的血液静止和降低的再出血和的风险.
科学领域:
- 胃肠病学 胃肠病学
- 进行内镜干预.
- 肝病学 肝病学是一种肝病学.
背景情况:
- 急性胃水出血 (AGVB) 是门高血压的严重并发症.
- 烯酸粘合剂内注射是标准的,但存在风险.
- 有限的数据存在于人体血栓注射对AGVB.有限的数据.
研究的目的:
- 为了比较内镜注射人体血栓激素的疗效和安全性与AGVB的粘合剂注射.
- 为了评估治疗后的并发症,血液静止,再出血和死亡率.
主要方法:
- 一个随机试验,涉及52名AGVB患者.
- 患者接受了血栓注射 (25) 或粘合剂注射 (27).
- 主要结局:治疗后的并发症;次要结局:静血,再出血,死亡率.
主要成果:
- 血注射没有显示治疗后的,与 (14.81%,P=0.045) 不一样.
- 总体并发症在血栓组 (20%) 与粘合剂组 (40.7%) 相比较低.
- 最初的静血和再出血率是可比的,尽管的治疗失败率更高 (6.1%).
结论:
- 内镜注射人类血栓激素是对AGVB静血的有效治疗方法.
- 与粘合剂注射相比,血栓注射可能与再出血和胃水性的风险较低.
- 热血素为管理AGVB提供了一个潜在的更安全的替代方案.
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