Rockall危险性积分系统与分层护理对肝硬化急性上消化道出血患者止血的效果  

Effectiveness of the Rockall Risk Score System and Stratified Care for Hemostasis in Patients with Acute Upper Gastrointestinal Bleeding in Liver Cirrhosis

作　　者：陈丽仙 兰月凤[2] 余凯华 CHEN Lixian;LAN Yuefeng;YU Kaihua(Department of Hepatobiliary and Pancreatic Surgery,District 14,Fujian Provincial Hospital,Fuzhou 350001,China;Department of Cardiovascular surgery,Fujian Provincial Hospital,Fuzhou 350001,China)

机构地区：[1]福建省立医院14区肝胆胰外科,福州350001 [2]福建省立医院心血管外科,福州350001

出　　处：《中国医药指南》2024年第20期70-73,共4页Guide of China Medicine

摘　　要：目的研究Rockall危险性积分系统与分层护理对肝硬化急性上消化道出血的效果。方法择取在2021年5月至2023年4月本院进行治疗的74例肝硬化急性上消化道出血患者。以随机数字表法为依据分为对照组和观察组,每组患者各37例。对照组、观察组分别实施常规护理、Rockall危险性积分系统联合分层护理。对比两组的血红蛋白(Hb)、血尿素氮(BUN)、健康促进生活方式量表Ⅱ(HPLP-Ⅱ)评分、止血时间、再出血率、住院时间、并发症发生情况、护理满意度。结果观察组出院当天的Hb测定值高于对照组,BUN水平则低于对照组(均P<0.05);关于干预后的Rockall危险性积分系统评分,组间比较观察组更低,就干预后的HPLP-Ⅱ评分而言,观察组测定值更高(均P<0.05);组间对比止血时间、住院时间,观察组短于对照组,再出血率、并发症发生率观察组均低于对照组,观察组满意度居更高水平(均P<0.05)。结论基于Rockall危险性积分系统对肝硬化急性上消化道出血患者实施分层护理可取得较好的止血效果,减轻出血风险,降低再次出血率,有助于患者健康行为水平和满意度的提高。Objective To study the effect of Rockall risk scoring system and stratified nursing on acute upper gastrointestinal bleeding in liver cirrhosis.Methods A total of 74 patients with acute upper gastrointestinal bleeding from cirrhosis treated in our hospital from May 2021 to April 2023 were selected.They were divided into control group and observation group according to random number table method,with 37 patients in each group..Control group and observation group were given routine nursing and Rockall risk scoring system combined stratified nursing,respectively.The effect of nursing intervention was compared between the two groups.Hemoglobin(Hb),blood urea nitrogen(BUN),Health Promotion Lifestyle Scale-Ⅱ(HPLP-Ⅱ)scores,hemostasis time,rebleeding rate,hospital stay,complications and nursing satisfaction were compared between the two groups.Results The Hb measurement value on the day of discharge in the observation group was higher than that in the control group,while the BUN level was lower than that in the control group(both P<0.05);Regarding the Rockall risk score system after intervention,the observation group had a lower intergroup comparison.In terms of the HPLP-Ⅱ score after intervention,the observation group had a higher measured value(both P<0.05);The comparison of hemostasis time and hospitalization time between groups showed that the observation group was shorter than the control group,with lower rates of rebleeding and complications compared to the control group.The satisfaction level of the observation group was higher,with(all P<0.05).Conclusions Based on the Rockall risk score system,implementing stratified nursing care for patients with acute upper gastrointestinal bleeding in liver cirrhosis can achieve good hemostatic effects,reduce the risk of bleeding,lower the rate of re bleeding,and help improve the patient's health behavior level and satisfaction.

关 键 词：肝硬化 急性上消化道出血 Rockall危险性积分系统 分层护理 

分 类 号：R657.31[医药卫生—外科学] R573.2[医药卫生—临床医学] R473.5