祛瘀止血汤联合奥美拉唑钠治疗上消化道出血的内科护理要点  

Study on the Key Points of Internal Medicine Nursing in the Treatment of Upper Gastrointestinal Hemorrhage with the Combination of Traditional Chinese and Western Medicine

作　　者：杨冬丽 YANG Dongli(Department of Neurology,People's Hospital of Runan County,Runan 463300,Henan,China)

机构地区：[1]汝南县人民医院神经内科,河南汝南463300

出　　处：《实用中医内科杂志》2020年第8期38-40,共3页Journal of Practical Traditional Chinese Internal Medicine

基　　金：河南省医学科技攻关计划(20170082)。

摘　　要：目的研究探讨祛瘀止血汤联合奥美拉唑钠治疗上消化道出血的内科护理要点。方法收集2018年8月—2019年12月期间医院收治的上消化道出血患者92例为研究对象,随机分为观察组、对照组,各46例。对照组常规西医治疗,观察组祛瘀止血汤联合奥美拉唑钠治疗,两组均进行内科护理干预。对两组临床疗效、止血时间、住院时间、出院后再出血发生率、满意度等进行统计比较。结果观察组总有效率为89.13%(41/46),高于对照组为71.74%(33/46),组间比较有差异有统计学意义(P<0.05)。治疗后观察组止血时间、住院时间均低于对照组,出院后再出血发生率低于对照组,组间比较有差异有统计学意义(P<0.05)。观察组治疗满意度为91.30%(42/46),高于对照组为73.91%(34/46),组间比较有差异有统计学意义(P<0.05)。结论祛瘀止血汤联合奥美拉唑钠治疗上消化道出血的临床疗效显著,能改善症状,缩短止血时间,降低复发率,提高满意度,值得临床推荐。Objective To study the key points of internal medicine nursing in the treatment of upper gastrointestinal hemorrhage with the combination of Chinese and Western medicine. Methods From August 2018 to December 2019,92 patients with upper gastrointestinal hemorrhage in our hospital were randomly divided into observation group and control group,46 cases in each group. The control group was treated with conventional western medicine,the observation group was treated with integrated Chinese and Western medicine,and the two groups were treated with internal medicine nursing intervention. The clinical effect,hemostasis time,hospitalization time,incidence of rebleeding after discharge and patient satisfaction of the two groups were compared. Results The total effective rate of the observation group was 89. 13%( 41/46),which was higher than that of the control group( 71. 74%). After treatment,the hemostasis time and hospitalization time of the patients in the observation group were lower than those in the control group,and the incidence of rebleeding after discharge was lower than that in the control group. There was a significant difference between the two groups( P < 0. 05). The treatment satisfaction of the observation group was 91. 30%( 42/46),which was higher than that of the control group 73. 91%( 34/46). There was significant difference between the two groups( P < 0. 05). Conclusion The combination of traditional Chinese and Western medicine in the treatment of upper gastrointestinal bleeding has a significant clinical effect,which can improve the symptoms of patients,shorten the hemostasis time of patients,reduce the recurrence rate,and improve the satisfaction of patients. It is worthy of clinical recommendation.

关 键 词：上消化道出血 祛瘀止血汤 奥美拉唑钠 内科护理 临床疗效 治疗满意度 

分 类 号：R573.2[医药卫生—消化系统]