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肝硬化并发上消化道出血的临床护理对策探讨 被引量:1

Investigation of clinical nursing measures for liver cirrhosis complicated with upper gastrointestinal hemorrhage
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摘要 目的观察肝硬化并发上消化道出血患者实施不同护理模式的临床疗效及可行性。方法 90例肝硬化并发上消化道出血患者,依照患者的入院顺序将其分为对照组和观察组,各45例。观察组患者实施全面化护理,对照组患者实施常规护理。比较两组患者止血时间、住院时间、出血复发率、并发症发生率及护理满意度等指标。结果观察组患者止血时间和住院时间分别为(25.35±8.32)h、(13.25±4.26)d。对照组患者止血时间和住院时间分别为(38.43±10.25)h、(18.24±5.27)d。观察组患者止血时间和住院时间均短于对照组,差异具有统计学意义(P<0.05)。观察组患者出血复发率、并发症发生率及护理满意度分别为6.67%、4.44%、95.56%,均优于对照组的22.22%、17.78%、77.78%,差异具有统计学意义(P<0.05)。结论肝硬化并发上消化道出血患者实施全面化护理可以有效减轻疾病症状,提高患者满意度,值得推广。 Objective To observe clinical effect and feasibility by different nursing modes for liver cirrhosis complicated with upper gastrointestinal hemorrhage patients. Methods A total of 90 patients with liver cirrhosis complicated with upper gastrointestinal hemorrhage patients were divided by admission order into control group and observation group, with 45 cases in each group. The observation group received comprehensive nursing, and the control group received conventional nursing. Comparison was made on hemostasis time, hospital stay time, recurrence rate of hemorrhage, incidence of complications and nursing satisfaction degree between the two groups. Results The observation group had hemostasis time and hospital stay time respectively as (25.35 + 8.32) h and (13.25 -+ 4.26) d. the control group had hemostasis time and hospital stay time respectively as (38.43 -+ 10.25) h and (18.24 + 5.27) d. The observation group had all shorter hemostasis time and hospital stay time than the control group, and their difference had statistical significance (P〈O.05). The observation group had recurrence rate of hemorrhage, incidence of complications and nursing satisfaction degree respectively as 6.67%, 4.44% and 95.56%, which were all better than 22.22%, 17.78%, and 77.78% in the control group, and their difference had statistical significance (P〈0.05). Conclusion hnplement of comprehensive nursing for liver cirrhosis complicated with upper gastrointestinal hemorrhage patients can effectively relieve disease symptoms and improve satisfaction degree. It is worth promoting.
作者 张光明
机构地区 武汉市中心医院
出处 《中国实用医药》 2017年第11期156-157,共2页 China Practical Medicine
关键词 肝硬化 上消化道出血 复发率 Liver cirrhosis Upper gastrointestinal hemorrhage Recurrence rate
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