急诊内镜治疗消化道肿瘤并上消化道出血的护理体会  

Nursing experience of emergency endoscopy in treatment treatment of digestive tract tumor and upper gastrointestinal bleeding

作　　者：顾芳[1] 徐晓红[1] 宋隽[1] 

机构地区：[1]江苏省无锡市第三人民医院急诊科,江苏无锡214041

出　　处：《实用临床医药杂志》2017年第10期21-23,共3页Journal of Clinical Medicine in Practice

摘　　要：目的探讨急诊内镜治疗消化道肿瘤并上消化道出血的护理方法。方法选择本院急诊科收治的消化道肿瘤并上消化道出血患者160例,以随机数字表将其平分为研究组与对照组,每组各80例。对照组采取对症支持治疗联合常规护理干预。研究组于出血24 h内给予急诊内镜诊疗与围术期护理干预。结果研究组止血成功率高于对照组,再出血率、输血率低于对照组(P<0.05);研究组止血时间少于对照组(P<0.05);2组治疗不良反应发生率比较差异无统计学意义(P>0.05)。结论急诊内镜治疗方案与护理干预可以有效缩短消化道肿瘤并上消化道出血患者的止血时间,降低再出血率,保证救治效果,安全可靠,适于临床推广。Objective Emergency endoscopic treatment of digestive tract tumor and the effect of upper gastrointestinal bleeding and nursing methods. Methods A total of 160 cases with digestive tract tumor and upper gastrointestinal hemorrhage admitted in our hospital in emergency de- partment were randomly divided into study group and the control group, with 80 cases in each group. The control group was treated with symptomatic support and conventional nursing measures, and study group was given emergency endoscopic diagnosis and treatment and the perioperative nursing interven- tion within 24 h of bleeding. Results The success rate of hemostasis was higher, and re - bleeding rate and blood transfusion rate were lower than the control group （P 〈 0.05 ） ; Hemostatic time in the study group was lower than that in the control group （P 〈 0.05 ） ; There was significant difference in the incidence of adverse reactions （P 〉 0.05 ）. Conclusion Emergency endoscopic treatment and nursing intervention can effectively shorten bleeding time of digestive tract tumor and upper gastroin- testinal bleeding, decrease the rate of re - bleeding, and ensure the safe and reliability of treatment effect, so it is suitable for clinical promotion.

关 键 词：急诊内镜 消化道肿瘤 上消化道出血 护理 

分 类 号：R473.73[医药卫生—护理学]