内镜下食道静脉曲张套扎术的护理  

Endoscopic Nursing of Esophageal Varices Ligation

作　　者：沈志香[1] 倪嫣[1] 沈金菊 SHEN Zhi-xiang;NI Yan;SHEN Jin-ju(Qidong People＇s Hospital,Qidong,Jiangsu Province,226200 China)

机构地区：[1]启东市人民医院,江苏启东226200

出　　处：《系统医学》2018年第9期177-178,186,共3页Systems Medicine

摘　　要：目的探究内镜下食道静脉曲张套扎术的护理方法与临床效果。方法纳入该院2014年1月—2017年12月收治的50例行内镜下食道静脉曲张套扎术治疗的肝硬化患者,并根据数字表法将其分为2组,对照组25例患者予以常规护理,观察组25例患者予以全面护理,并对两组患者的并发症发生率、复发率以及护理满意度情况进行对比。结果对照组患者并发症发生率24%,明显比观察组患者的4%高,(χ~2=4.152 8,P=0.041 6);对照组患者复发率20%,明显高于观察组患者的0%,(χ~2=5.555 6,P=0.018 4);观察组患者护理满意度100%,明显比对照组患者的68%高,(χ~2=9.523 8,P=0.0020)。结论内镜下食道静脉曲张套扎术实施全面护理干预,安全性较好,复发率较低。Objective This paper tries to explore the nursing method and clinical effect of endoscopic varieeal ligation. Methods 50 patients with cirrhosis who underwent endoscopic esophageal variceal ligation from January 2014 to De- cember 2017 were divided into two groups according to the digital table method and 25 patients in the control group with routine care, 25 patients in the observation group were given comprehensive care and the complication rate, recur- rence rate, and care satisfaction of the two groups were compared. Results The complication rate in the control group was 24%, which was significantly higher than that in the observation group （4%）,the difference was statistically signifi- cant （X2=4.152 8, P=0.041 6）. The recurrence rate in the control group was 20%, which was significantly higher than that in the observation group （0%）. （X2=5.555 6, P=0.018 4）; The patient satisfaction rate in the observation group was 100%, significantly higher than 68% in the control group,the difference was statistically significant （X2=9.523 8, P= 0.002 0）. Conclusion Endoscopic esophageal varieeal ligation surgery with a comprehensive care intervention has better safety, low recurrence rate.

关 键 词：内镜 食道静脉曲张套扎术 护理方法 临床效果 

分 类 号：R47[医药卫生—护理学]