幽门螺杆菌感染致消化性溃疡患者健康指导及干预对疗效的影响  

Effects of health education and nursing interventions on treatment of peptic ulcer caused by Helicobacter pylori infections

作　　者：李晓红[1] 白亚丽[1] 王红妍[1] 王威[1] 

机构地区：[1]齐齐哈尔医学院附属第三医院消化一科,黑龙江齐齐哈尔161000

出　　处：《中华医院感染学杂志》2013年第16期3886-3888,共3页Chinese Journal of Nosocomiology

基　　金：齐齐哈尔市科技局基金项目(9232012Y0759-01)

摘　　要：目的研究在常规根除幽门螺杆菌(Hp)感染致消化性溃疡治疗过程中对患者辅以健康指导和护理干预对其治疗的影响,以提高临床治疗有效率。方法选取幽门螺杆菌的感染的治疗致消化性溃疡患者160例随机分为两组,对照组采用根除幽门螺杆菌感染的治疗,护理组在采用根除幽门螺杆菌感染的治疗同时辅以健康指导和护理干预,分析治疗后两组患者幽门螺杆菌感染以及临床疗效对比。结果治疗后护理组患者幽门螺杆菌感染26例,感染率为32.5%,对照组感染24例,感染率为30.0%,两组差异无统计学意义;治疗后护理组患者血清中Hp-IgG浓度(1.02±0.24)U/ml明显低于对照组(1.41±0.36)U/ml;治疗后护理组的总有效率为97.5%明显高于对照组的85.0%。结论临床在进行常规治疗幽门螺杆菌感染所致的消化性溃疡患者同时辅以健康指导和护理干预,能降低患者血清中Hp-IgG抗体的浓度,并且显著提高临床的总有效率。OBJECTIVE To investigate the effects of health education and nursing interventions on treatment of peptic ulcer caused by Helicobacter pylori（Hp）infections so as to improve the effective rate of the clinical treatment.METHODS Totally 160patients with peptic ulcer induced by the Hp infections were randomly divided into two groups,the control group was treated with eradication of Hp infections,while the nursing group was treated with eradication of Hp infections,meanwhile the health education and nursing interventions were performed,then the Hp infections and the clinical efficacy after the treatment were compared between the two groups.RESULTS After the treatment,there were 26（32.5%）cases of patients with Hp infections in the nursing group and 24（30.0%）cases in the control group,the difference in the infection rate between the two groups was not significant;after the treatment,the concentration of serum Hp-IgG of the nursing group was（1.02±0.24）U/ml,significantly lower than（1.41±0.36）U/ml of the control group;the total effective rate of the nursing group was 97.5%（78cases）after the treatment,significantly higher than 85.0%（68cases）of the control group.CONCLUSIONTo perform the conventional therapy of peptic ulcer caused by Hp infections by supplementing health guidance and nursing interventions can reduce the concentration of patients serum Hp-IgG antibody and significantly improve the total effective rate.

关 键 词：幽门螺杆菌 消化性溃疡 健康指导 护理干预 

分 类 号：R181.32[医药卫生—流行病学]