综合护理在经胃镜治疗急性上消化道出血中的效果观察  

Observation on the Effect of Comprehensive Nursing in Acute Upper Gastrointestinal Bleeding Treated by Gastroscopy

作　　者：杨明艳 YANG Mingyan(Nursing Department,Nanyang Yuxi Xiehe Hospital,Nanyang 474500,China)

机构地区：[1]南阳豫西协和医院护理部,河南南阳474500

出　　处：《临床医学工程》2021年第4期535-536,共2页Clinical Medicine & Engineering

摘　　要：目的观察综合护理在经胃镜治疗急性上消化道出血中的效果。方法 108例行经胃镜止血治疗的急性上消化道出血患者根据不同护理模式分为两组。常规组50例给予常规护理,综合组58例在常规组基础上给予综合护理干预,比较两组的止血效果及预后。结果综合组术后3 d的APACHEⅡ评分显著低于常规组,住院时间显著短于常规组(P <0.05)。综合组的即时止血率显著高于常规组,术后1周内再出血率和出院后6个月复发率均显著低于常规组(P <0.05)。结论综合护理可有效提升急性上消化道出血患者经胃镜治疗的止血效果,降低再出血和复发风险。Objective To observe the effect of comprehensive nursing in acute upper gastrointestinal bleeding treated by gastroscopy.Methods 108 patients with acute upper gastrointestinal bleeding treated by gastroscope hemostasis were divided into two groups according to different nursing modes.50 cases in the routine group were given routine nursing,and 58 cases in the comprehensive group were given comprehensive nursing intervention on the basis of the routine group.The hemostasis effect and prognosis were compared between two groups.Results The APACHEⅡscore at 3 d after surgery of comprehensive group was significantly lower than that of routine group,and the hospitalization time was significantly shorter than that of routine group(P<0.05).The immediate hemostasis rate of comprehensive group was significantly higher than that of routine group,and the rebleeding rate within 1 week after surgery and the recurrence rate at 6 months after discharge were significantly lower than those of routine group(P<0.05).Conclusions Comprehensive nursing can effectively improve the hemostasis effect of gastroscopy treatment for patients with acute upper gastrointestinal bleeding and reduce the risk of rebleeding and recurrence.

关 键 词：综合护理 经胃镜治疗 急性上消化道出血 

分 类 号：R473.6[医药卫生—护理学]