Abstract：Objective: To explore the application efficacy of three fixation methods of Sengstaken-Blakemore tube on compression hemostasis in patients with esophageal and gastric varices bleeding. Methods: A total of 210 patients with esophageal and gastric varices bleeding admitted to our hospital from January 2021 to October 2022 were selected as the study subjects. The patients were randomly divided into traditional fixation group, rhinobyon fixation group and table tennis fixation group by means of the randomization method, with 70 cases in each group. The traditional fixation group was fixed with Sengstaken-Blakemore tube by traditional method, and the rhinobyon fixation group was fixed by rhinobyon method, and the table tennis fixation group was fixed by table tennis method. The clinical efficacy (hemostasis effective rate, bleeding control time, blood transfusion volume, rebleeding rate), incidence rates of complications (nasal mucosa damage, asphyxia, chest tightness, retrosternal pain, throat injury), airbag breakage rate and catheterization success rate were compared among the three groups of patients. The differences in bleeding-related biochemical indicators (hemoglobin, urea nitrogen, platelet count) and coagulation function indicators (fibrinogen content, prothrombin time, thromboplastin time) were recorded before treatment and at 6 months after treatment. Results: The hemostasis effective rate and success rate of catheterization were shown as table tennis fixation group (97.44%, 100%) >rhinobyon fixation group (94.87%, 97.14%) >traditional fixation group (87.50%, 78.57%) (P<0.05). The clinical efficacy indexes (bleeding control time, blood transfusion volume) were manifested as table tennis fixation group<thromboplastin fixation group<traditional fixation group (P<0.05). Compared with before treatment, the hemoglobin content and platelet count in the three groups were significantly increased at 6 months after treatment (P<0.05), and the increases revealed table tennis fixation group>thromboplastin fixation group>traditional fixation group. The concentration of urea nitrogen was significantly decreased (P<0.05), and the decrease was expressed as table tennis fixation group>thromboplastin fixation group>traditional fixation group. There were no obvious differences in rebleeding rate, airbag breakage rate and coagulation function indicators among the three groups (P>0.05). Conclusion: Compared with rhinobyon fixation method and traditional fixation method, table tennis fixation method with Sengstaken-Blakemore tube can more effectively improve the clinical hemostatic efficacy and reduce the probability of complications to the greatest extent, and it has a higher success rate.
郭蕾, 赵丽芳, 路伟. 三腔二囊管3种固定方法在食管胃底静脉曲张破裂出血患者压迫止血中的效果观察[J]. 河北医学, 2024, 30(4): 629-634.
GUO Lei, ZHAO Lifang, LU Wei. Effect of Three Fixation Methods of Sengstaken-Blakemore Tube on Compression Hemostasis in Patients with Esophageal and Gastric Varices Bleeding. HeBei Med, 2024, 30(4): 629-634.
2024, Vol. 30 
冀公网安备13080202000677号