监测胃液酸碱度在重型颅脑损伤患者应激性溃疡治疗中的价值

摘要

Objective:To investigate the value of gastric pH monitoring in patients with severe craniocerebral injury and stress ulcer. Methods:168 cases of severe traumatic brain injury were randomly divided into two groups.The experimental group(n=84),in 24 h after injury built into the tube,through the monitoring of gastric pH guiding stress ulcer treatment.The control group(n=84),which treated the prevention of stress ulcer drugs after admission,compared two groups of patients the incidence of stress ulcer bleeding and related medical expenses.Results:The two groups of patients with stress ulcer bleeding rate had no significant difference(P>0.05),the related medical costs was obviously lower than that in the control group(P<0.05).Conclusion:Gastric pH monitoring guidance stress ulcer treatment is safe,effective and economic.%　　目的：探讨监测胃液酸碱度在重型颅脑损伤患者应激性溃疡治疗中的价值。方法：将168例重型颅脑损伤患者随机分为两组，试验组84例，于伤后24 h内置入胃管，通过监测胃液酸碱度指导应激性溃疡治疗；对照组84例，入院后即给予预防应激性溃疡药物，比较两组患者应激性溃疡出血的发生率、相关医疗费用。结果：两组患者应激性溃疡出血发生率比较差异无统计学意义(P>0.05)，试验组较对照组相关医疗费用明显降低，差异有统计学意义(P<0.05)。结论：监测胃液酸碱度指导应激性溃疡治疗方法，安全、有效、经济。