摘要
目的 探讨新型三腔二囊管在食管胃底静脉曲张破裂出血患者中的应用效果.方法 采用便利抽样法选择2015年1月—2016年6月浙江省嘉兴市第一医院感染科收治的50例肝硬化并发食管胃底静脉曲张破裂大出血的患者为研究对象,根据随机数字表分为试验组25例和对照组25例,试验组采用新型改良三腔二囊管,对照组采用传统三腔二囊管,观察两组的止血效果,以及鼻腔皮肤破损、体位限制不适、胸闷、胸痛、呼吸困难的不良反应发生率和医护操作满意度.结果 对照组止血有效率为68.0%,低于试验组的96.0%,差异有统计学意义（χ2=4.88,P〈0.05）.试验组发生鼻腔皮肤破损、体位限制不适、胸闷、胸痛、呼吸困难的患者分别为4、3、4、13、3例,对照组分别为12、10、11、20、11例,试验组发生率低于对照组,差异均有统计学意义（P〈0.05）.试验组医护操作便捷满意度为72.0%,高于对照组的28.0%（P〈0.05）.结论 新型改良三腔二囊管较传统三腔二囊管止血效果良好,医护操作更加便捷,患者置管的不良反应少,值得临床推广应用.
Objective To explore the effect of new sengstaken-blakemore tube in patients with esophageal and gastric variceal bleeding （EGVB）.Methods A total of 50 patients of liver cirrhosis complicated with EGVB in First Hospital of Jiaxing City were randomly divided into the experimental group （25 patients） and the control group （25 patients） from January 2015 to June 2016. Patients in the experimental group were practiced with new sengstaken-blakemore tube,while patients in the control group were given traditional sengstaken-blakemore tube. The hemostatic effect,the incidence of adverse reactions （nasal skin damage,discomfort of postural restriction,chest tightness,chest pain and dyspnea） and operation satisfaction were compared between two groups.ResultsThe hemostatic efficiency in the control group was lower than that in the experimental group （68% vs 96%）. The differences between two groups were statistically significant （χ2=4.88,P〈0.05）. The incidence of nasal skin damage （4 cases）,discomfort of postural restriction （3 cases）,chest tightness （4 cases）, chest pain （13 cases）,and dyspnea （3 cases） in the experimental group were lower than those in the control group （12 cases,10 cases,11 cases,20 cases and 11 cases） （P〈0.05）. The operation satisfaction in the experimental group （72.0%） was higher than that （28.0%） in control group （P〈0.05）.Conclusions Compared with the traditional sengstaken-blakemore tube,the new sengstaken-blakemore can improve the hemostatic effect,reduce the adverse reactions and increase the operation satisfaction. It is worthy of clinical application.
出处
《中华现代护理杂志》
2017年第4期535-537,共3页
Chinese Journal of Modern Nursing
基金
国家实用新型专利项目(ZL 201620136730.9)National Utility Model Patent Project
关键词
革新推广
止血
三腔二囊管
食管胃底静脉曲张
罗伯特夹
牵拉环
Innovation and promotion
Hemostasis
Sengstaken-blakemore tube
Esophageal and gastric varices
Robert clip
Pull ring
