脑出血并发上消化道出血早期留置胃管的临床效果  

Clinical Nursing Observation of Early Indwelling Gastric Tube for Cerebral Hemorrhage Complicated with Upper Digestive Tract Hemorrhage

作　　者：姚杰 YAO Jie(Department of Neurosurgery,The First Hospital of Nanping,Nanping 353000,China)

机构地区：[1]福建省南平市第一医院神经外科,南平353000

出　　处：《中国医药指南》2024年第30期144-147,共4页Guide of China Medicine

摘　　要：目的 探索脑出血并发上消化道出血行早期留置胃管的临床效果。方法 研究以我院收治的脑出血并发上消化道出血患者作为样本,共筛选样本量123例,时间点截取为2022年1月至2024年3月。按照随机样本抽签方式将患者划分两组,观察组61例,给予患者早期留置胃管(发病12~24 h),对照组62例,待患者病情稳定后留置胃管。观察两组患者各项指标变化情况。结果 观察组出血症状消失时间、住院时间短于对照组(P <0.05)。干预前两组胃液pH值比较结果为P> 0.05。干预后评估各时间点胃液pH值,观察组高于对照组(P <0.05)。干预前两组患者营养指标比较结果为P> 0.05。干预后两组营养指标均有改善,且观察组营养指标优于对照组(P <0.05)。干预前两组患者免疫功能指标比较结果为P> 0.05,干预后两组的免疫功能指标均有改善,且观察组免疫功能指标优于对照组(P <0.05)。观察组应激性溃疡出血发生率低于对照组、满意度高于对照组(P <0.05)。结论 脑出血并发上消化道出血患者早期留置胃管效果显著,可以有效地改善患者机体营养水平,保证患者病情稳定,降低各种不良因素影响,并预防患者应激性溃疡出血,提高患者生存质量。Objective To explore the clinical effect of early indwelling gastric tube for cerebral hemorrhage complicated with upper gastrointestinal hemorrhage.Methods Patients with cerebral hemorrhage complicated with upper digestive tract hemorrhage admitted to our hospital were selected as the study samples,with a screening sample size of 123 cases.The time points were taken from January 2022 to March 2024,and the patients were divided into two groups according to random sample drawing method.Sixty-one patients in the observation group were given early indentation gastric tube(12-24 h after onset).Sixty-two patients in the control group,after the patient's condition stabilizes,a gastric tube will be left in place.Observe the changes in various indicators of the two groups of patients.Results The disappearance time of bleeding symptoms and hospitalization time in the observation group were lower than those in the control group(P<0.05).There was no contrast difference in the gastric juice pH values evaluated before the intervention(P>0.05).After the intervention,the pH value of the observation group was higher than the control group(P<0.05).There was no difference in the assessment of patient nutritional indicators before the intervention(P>0.05).After the intervention,the nutritional indicators improved,and the observation group was better than the control group(P<0.05).The comparison of immune function indicators between the two groups of patients before intervention showed P>0.05,after intervention,both groups showed significant improvement in immune function indicators,and the observation group had better immune function indicators than the control group(P<0.05).The incidence of stress ulcer bleeding in the observation group was lower than that in the control group,and satisfaction was higher than that in the control group(P<0.05).Conclusions The effect of early indwelling gastric tube in patients with cerebral hemorrhage complicated with upper digestive tract hemorrhage is significant,which can effectively improve the

关 键 词：脑出血 上消化道出血 早期留置胃管 

分 类 号：R743.34[医药卫生—神经病学与精神病学] R573.2[医药卫生—临床医学]