The Observation Of Shihui Powder's Curative Effect In Treating Acute Nonvariceal Upper Gastrointestinal Bleeding

Background and objectiveAcute non-variceal upper gastrointestinal bleeding is theHemorrhage of alimentary tract above the ligament of Traitz, including esophagus, stomach, duodenum or pancreatic bile and other diseases caused by bleeding, the jejunum after gastrojejunostomy is also the bleeding lesions range. Non-variceal upper gastrointestinal bleeding caused by disease, the incidence rate of the entire upper gastrointestinal bleeding in 70%, annual incidence rate of 50 150/100000 fatality rate of 6% to 10%. Among them, the stomach, duodenum, accounting for about 80%—90%, to hematemesis or (and) as the main symptoms of melena, often accompanied by severe acute peripheral circulatory failure and major organ dysfunction and other clinical manifestations. In recent years, some better drugs to stop bleeding, the price is very expensive, although endoscopic hemostasis has been widely recognized, due to the current elderly (＞60 years) more upper gastrointestinal hemorrhage of peptic ulcer (1/2—1/3) and severe, the mortality rate of 8%—20%, so many advocates active medical treatment. Observation of this project, "Shihui powder," Empirical treatment of acute non-variceal upper gastrointestinal bleeding before and after the clinical symptoms and signs, and analyze the clinical efficacy, and with the treatment of acute non-variceal upper gastrointestinal bleeding only western as the control group to compare the advantages and disadvantages, and so on through the fecal occult blood test checks for acute non-variceal upper gastrointestinal bleeding to find a safe and effective therapeutic approach.Objects60 cases of this study are from the Guangzhou University of Traditional Chinese Medicine, First Affiliated Hospital of General Internal Medicine hospitalized patients, the met the inclusion criteria and in accordance with acute non-variceal upper gastrointestinal bleeding in the blood heat of the clinical manifestations.Methods60 patients were randomly divided into test group and control group, control group of 30 patients, to support the addition of proton pump inhibitor therapy, "Omeprazole" 40mg bolus,2 times a day. Experimental group of 30 patients in the control group, based on the oral or gastric tube of feeding ten gray powder soup liquid,1-2 times a day, every 50ml.ResultsAll statistics are used SPSS13.0 statistical package for statistical analysis. The total study group was 83.3%,96.7% total efficiency, the efficiency of the control group was 73.3%,93.3% total efficiency, total efficiency and total efficiency was the experimental group were better than the control group (P<0.05), that ten gray powder combined omeprazole bulk of non-variceal acute upper gastrointestinal hemorrhage better than omeprazole.ConclusionThe combination of omeprazole shihui powder for the treatment of "heat to the stomach" type of acute non-variceal upper gastrointestinal bleeding, in improving clinical symptoms, efficient, effective and so was the control group with pure omeprazole compared with the better effect, and has a shorter course of treatment, adverse reactions, no significant resistance, low cost advantages of Chinese medicine treatment of gastrointestinal bleeding method to develop a new way.