老年溃疡病出血患者内镜下止血效果的护理分析  

Analysis of Nursing Affecting Endoscopic Astringent Effects for Senile Patients with Ulcerative Hemorrhage

作　　者：张艳[1] 

机构地区：[1]华中科技大学同济医学院附属荆州医院消化内科,湖北荆州434020

出　　处：《西部中医药》2015年第8期150-152,共3页Western Journal of Traditional Chinese Medicine

摘　　要：目的:分析影响老年溃疡病出血患者内镜下止血效果的常见因素。方法,通过回顾性分析同期165例消化性溃疡并上消化道出血内镜下止血的患者资料,按不同年龄段将患者分为A、B、C组,评估3组患者一次性内镜下止血成功率、再出血率及住院时间,并通过问卷调查了解影响老年患者疗效的术前负性情绪和伴发病发生率。结果,一次性内镜下止血成功率:A组明显高于B、C组(P<0.05),B组高于C组(P<0.05);再出血率:C组明显高于A、B组(P<0.01、<0.05),B组也高于A组(P<0.05);住院时间C组明显长于A、B组(P<0.01),B组也长于A组(P<0.05);负性情绪出现率:C组明显高于A、B组(P<0.01),B组也高于A组(P<0.05);并发病总发生率:C组明显高于A、B组(P<0.01、<0.05),B组也高于A组(P<0.05)。结论:老年溃疡病出血患者内镜下止血疗效较中、青年患者差,其原因主要与老年患者负性情绪和伴发病发生率较中、青年患者明显增高有关。因此,应根据老年患者的特点,进行有针对性的心理护理和督导患者术前积极治疗伴发疾病,以利于提高疗效、缩短住院时间。Objective： To analyze the common factors influencing endoscopic astringent effects for senile patients with ulcerative hemorrhage. Methods： The data of 165 patients were analyzed retrospectively, randomized into three groups： A, B and C according to different ages, to assess one-off endoscopic hemorrhage success rates, rehemorrhage rate and the duration of hospitalization time of the patients in three groups, to investigate preoperative negative mood influencing clinical effects of senile patients and complication incidences with questionnaires. Results： One-off endoscopic hemorrhage success rate： A was higher than B and C obviously（P〈0.05, 〈0.01）, B was higher than C（P〈0.05）; rehemorrhage rate： C was higher than A and B（P〈0.01, 〈0.05）, B was higher than A（P〈0.05）; C was longer than A and B in hospitalization time remarkably（P〈0.01）, B was longer than A（P〈0.05）; the incidence of negative mood： C was higher than A and B notably（P〈0.01）, B was higher than A（P〈0.05）; total incidence of the complication：C was higher than A and B evidently（P〈0.01, 〈0.05）, B was higher than A（P〈0.05）. Conclusion： Endoscopic astringent effects for senile patients with ulcerative hemorrhage were poorer compared with the young and middle-aged, its reason might be related to higher negative mood and complication incidences of senile patients compared with young and middle-aged patients apparently. Consequently, corresponding psychological care should be given to senile patients according to their features, the complications should be treated before the operations positively, which is helpful to improve clinical effects and shorten hospitalization time.

关 键 词：出血 溃疡 内镜下止血 影响因素 老年 

分 类 号：R473.5[医药卫生—护理学]