营养支持疗法联合常规方案治疗肝硬化合并上消化道出血的临床效果分析  

Clinical Effect Analysis of Nutritional Support Therapy Combined with Conventional Regimen in the Treatment of Liver Cirrhosis Combined with Upper Gastrointestinal Bleeding

作　　者：崔瑶[1] CUI Yao(Department of Gastroenterology,Pizhou People's Hospital,Pizhou,Jiangsu Province,221300 China)

机构地区：[1]邳州市人民医院消化内科,江苏邳州221300

出　　处：《中外医疗》2023年第30期52-55,共4页China & Foreign Medical Treatment

摘　　要：目的分析予以肝硬化合并上消化道出血(upper gastrointestinal bleeding,UGIB)患者营养支持疗法联合常规方案治疗的临床效果。方法简单随机选择2018年1月—2023年1月在邳州市人民医院接受治疗的80例肝硬化合并UGIB患者为研究对象,采用随机数表法分为两组,每组40例。对照组采用常规方案治疗,观察组采用营养支持疗法联合常规方案治疗。比较两组治疗效果、营养状况及并发症发生率。结果观察组总有效率为97.50%高于对照组的80.00%,差异有统计学意义(P<0.05)。治疗前,两组营养状态评分比较,差异无统计学意义(P>0.05);治疗后,观察组简易营养评价量表评分为(12.40±1.52)分,较对照组的(10.35±1.21)分高,营养风险筛查量表2002评分为(2.41±0.21)分,较对照组的(3.02±0.35)分低,差异有统计学意义(t=6.674、9.452,P<0.05)。观察组并发症发生率为5.00%,较对照组的22.50%低,差异有统计学意义(χ^(2)=5.165,P<0.05)。结论予以肝硬化并UGIB患者营养支持疗法联合常规方案治疗,可改善患者机体营养状态,减少并发症,促进预后。Objective To analyze the clinical effect of nutritional support therapy combined with conventional regimen in the treatment of patients with liver cirrhosis combined with upper gastrointestinal bleeding(UGIB).Methods A total of 80 patients with liver cirrhosis complicated with UGIB who were treated in Pizhou People's Hospital from January 2018 to January 2023 were randomly selected as the study subjects,and they were divided into two groups with 40 cases in each group by random number table method.The control group was treated with conventional regimen,and the observation group was treated with nutritional support therapy combined with conventional regimen.The treatment effect,nutritional indexes and incidence of complications were compared between the two groups.Results The total ef⁃fective rate of the observation group was 97.50%,which was higher than that of the control group(80.00%),and the difference was statistically significant(P<0.05).Before treatment,there was no statistically significant difference in nu⁃tritional status scores between the two groups(P>0.05).After treatment,the score of the Simplified Nutrition Evalua⁃tion Scale in the observation group was(12.40±1.52)points,which was higher than that in the control group(10.35±1.2)points,and the score of the Nutrition Risk Screening Scale 2002 was(2.41±0.21)points,which was lower than that of the control group(3.02±0.35)points,and the difference was statistically significant(t=6.674,9.452,P<0.05).The incidence of complications in the observation group was 5.00%,which was lower than that in the control group(22.50%),and the difference was statistically significant(χ^(2)=5.165,P<0.05).Conclusion Nutritional support therapy combined with conventional regimens for patients with liver cirrhosis and UGIB can improve the nutritional status of patients,reduce complications,and promote prognosis.

关 键 词：肝硬化 上消化道出血 营养支持 治疗效果 并发症 

分 类 号：R575[医药卫生—消化系统]