摘要
目的探讨综合性护理干预对肝硬化合并上消化道出血治疗效果的影响。方法选择2015年5月至2017年5月本院收治的48例肝硬化合并上消化道出血患者作为研究对象,根据入院先后分为对照组22例和观察组26例,对照组患者采用常规护理干预,观察组患者采用综合护理干预,比较两组患者经不同护理干预后的临床治疗效果、止血时间、住院时间,同时比较两组患者肝功能指标改善情况及并发症的发生情况。结果观察组患者临床总有效率(92.31%)明显高于对照组(68.18%),差异具有统计学意义(P<0.05)。观察组患者止血时间(2.15±0.57)d及住院时间(13.20±3.89)d均明显短于对照组患者止血时间(3.65±1.09)d及住院时间(16.56±4.88)d,差异具有统计学意义(P<0.05)。经不同护理干预后,两组肝功能指标均有明显好转,与治疗前有显著差异(P<0.05),且观察组患者肝功能指标改善情况优于对照组,差异具有统计学意义(P<0.05)。治疗期间,观察组并发症发生率(11.54%)与对照组(36.36%)相比明显要低,差异具有统计学意义(P<0.05)。结论肝硬化合并上消化道出血患者治疗期间实施心理、饮食、用药等多方面综合护理干预,临床治疗效果显著,患者止血时间、住院时间缩短,治疗前后肝功能得以恢复,治疗期间并发症少。
Objective To investigate the effect of comprehensive nursing intervention on the treatment of liver cirrhosis complicated with upper gastrointestinal bleeding.Methods A total of 48 cases of liver cirrhosis complicated with upper gastrointestinal bleeding patients from May 2015 to May 2017 in our hospital were selected as the research objectes.And they were randomly divided into control group and observation group,22 cases in control group were treated with routine nursing intervention,while 26 cases in observation group were treated with comprehensive nursing intervention.The clinical treatment effect,hemostasis time and hospitalization time of different nursing intervention methods were compared.At the same time,the improvement of the liver function indexes and the complications of the two groups were compared.Results The total effective rate of the observation group（92.31%）was significantly higher than that of the control group（68.18%）,and there was difference between them（P〈0.05）.The hemostasis time[（2.15±0.57）d]and hospitalization time[（13.20±3.89）d]in the observation group were significantly shorter than those in the control group,which was（3.65±1.09）d and（16.56±4.88）d,and there was difference between them（P〈 0.05）.After different nursing intervention,the liver function indexes of the two groups improved obviously,and there was difference compared with that before treatment（P〈0.05）.And the improvement of liver function in the observation group was better than that in the control group（P〈0.05）.During the treatment period,the complication rate of the observation group（11.54%）was significantly lower than that of the control group（36.36%）,and there was difference between them（P〈0.05）.Conclusion For liver cirrhosis complicated with upper gastrointestinal bleeding patients,comprehensive nursing intervention such as psychological,dietary,medication and other aspects of nursing intervention has significant clinical treatment effect,which can shorten t
出处
《青岛医药卫生》
2017年第6期464-467,共4页
Qingdao Medical Journal
关键词
综合性护理干预
肝硬化
上消化道出血
Comprehensive nursing intervention
Liver cirrhosis
Upper gastrointestinal bleeding
