内镜下食道静脉曲张套扎术的护理
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摘要
目的探究内镜下食道静脉曲张套扎术的护理方法与临床效果。方法纳入该院2014年1月—2017年12月收治的50例行内镜下食道静脉曲张套扎术治疗的肝硬化患者,并根据数字表法将其分为2组,对照组25例患者予以常规护理,观察组25例患者予以全面护理,并对两组患者的并发症发生率、复发率以及护理满意度情况进行对比。结果对照组患者并发症发生率24%,明显比观察组患者的4%高,(χ~2=4.152 8,P=0.041 6);对照组患者复发率20%,明显高于观察组患者的0%,(χ~2=5.555 6,P=0.018 4);观察组患者护理满意度100%,明显比对照组患者的68%高,(χ~2=9.523 8,P=0.0020)。结论内镜下食道静脉曲张套扎术实施全面护理干预,安全性较好,复发率较低。
Objective This paper tries to explore the nursing method and clinical effect of endoscopic variceal ligation.Methods 50 patients with cirrhosis who underwent endoscopic esophageal variceal ligation from January 2014 to December 2017 were divided into two groups according to the digital table method and 25 patients in the control group with routine care, 25 patients in the observation group were given comprehensive care and the complication rate, recurrence rate, and care satisfaction of the two groups were compared. Results The complication rate in the control group was 24%, which was significantly higher than that in the observation group(4%),the difference was statistically significant(χ~2=4.152 8, P=0.041 6). The recurrence rate in the control group was 20%, which was significantly higher than that in the observation group(0%).(χ~2=5.555 6, P=0.018 4); The patient satisfaction rate in the observation group was100%, significantly higher than 68% in the control group,the difference was statistically significant(χ~2=9.523 8, P =0.002 0). Conclusion Endoscopic esophageal variceal ligation surgery with a comprehensive care intervention has better safety, low recurrence rate.
Objective This paper tries to explore the nursing method and clinical effect of endoscopic variceal ligation.Methods 50 patients with cirrhosis who underwent endoscopic esophageal variceal ligation from January 2014 to December 2017 were divided into two groups according to the digital table method and 25 patients in the control group with routine care, 25 patients in the observation group were given comprehensive care and the complication rate, recurrence rate, and care satisfaction of the two groups were compared. Results The complication rate in the control group was 24%, which was significantly higher than that in the observation group(4%),the difference was statistically significant(χ~2=4.152 8, P=0.041 6). The recurrence rate in the control group was 20%, which was significantly higher than that in the observation group(0%).(χ~2=5.555 6, P=0.018 4); The patient satisfaction rate in the observation group was100%, significantly higher than 68% in the control group,the difference was statistically significant(χ~2=9.523 8, P =0.002 0). Conclusion Endoscopic esophageal variceal ligation surgery with a comprehensive care intervention has better safety, low recurrence rate.
引文
[1]程华,李伟,宋德顺.内镜下套扎术联合卡维地洛和普萘洛尔治疗食管静脉曲张出血的效果对比[J].中国实用医药,2017,12(13):113-115.
[2]刘春华.内镜下食道静脉曲张套扎术中配合术后护理体会[J].临床医药文献电子杂志,2016,3(20):4040-4041.
[3]蒋雨虹,荀运浩.围术期强化护理在内镜下套扎术治疗食管静脉曲张的应用评价[J].中华全科医学,2016,14(4):680-682.
[4]黄亚军.内镜下食管静脉曲张套扎术治疗肝硬化食管静脉曲张52例疗效评价[J].中国社区医师,2017,33(32):49.
[5]戴艳清,陈杰,梁敏.强化护理在清醒镇静状态下食管胃底静脉曲张破裂出血套扎术效果观察[J].华夏医学,2016,29(2):103-106.
[6]覃喜香,彭铁立,刘均英,等.结构—过程—结果三维质量评价模式在食管静脉曲张破裂出血行内镜套扎术后患者延续护理中的应用[J].现代临床护理,2017,16(4):44-49.
[7]刘月凤,熊红,谢海群,等.内镜下食管静脉曲张套扎术治疗Wilson病上消化道出血的护理[J].大家健康旬刊,2016,10(8):268.
[8]郑凤敏,吕源,武永乐,等.间隔一个月和两周行内镜下食管静脉曲张套扎术预防肝硬化患者再出血的随机对照研究[J].中国全科医学,2016,19(35):4328-4332.
[9]李秋兰,罗灵敏,胡敏,等.护理干预对内镜套扎联合药物治疗食管静脉曲张出血疗效的影响[J].海南医学,2017,28(6):1031-1032.
[10]朱明凤,谢是英.内镜下食管静脉曲张套扎术的护理配合[J].中华全科医学,2013,11(3):492-493.
[2]刘春华.内镜下食道静脉曲张套扎术中配合术后护理体会[J].临床医药文献电子杂志,2016,3(20):4040-4041.
[3]蒋雨虹,荀运浩.围术期强化护理在内镜下套扎术治疗食管静脉曲张的应用评价[J].中华全科医学,2016,14(4):680-682.
[4]黄亚军.内镜下食管静脉曲张套扎术治疗肝硬化食管静脉曲张52例疗效评价[J].中国社区医师,2017,33(32):49.
[5]戴艳清,陈杰,梁敏.强化护理在清醒镇静状态下食管胃底静脉曲张破裂出血套扎术效果观察[J].华夏医学,2016,29(2):103-106.
[6]覃喜香,彭铁立,刘均英,等.结构—过程—结果三维质量评价模式在食管静脉曲张破裂出血行内镜套扎术后患者延续护理中的应用[J].现代临床护理,2017,16(4):44-49.
[7]刘月凤,熊红,谢海群,等.内镜下食管静脉曲张套扎术治疗Wilson病上消化道出血的护理[J].大家健康旬刊,2016,10(8):268.
[8]郑凤敏,吕源,武永乐,等.间隔一个月和两周行内镜下食管静脉曲张套扎术预防肝硬化患者再出血的随机对照研究[J].中国全科医学,2016,19(35):4328-4332.
[9]李秋兰,罗灵敏,胡敏,等.护理干预对内镜套扎联合药物治疗食管静脉曲张出血疗效的影响[J].海南医学,2017,28(6):1031-1032.
[10]朱明凤,谢是英.内镜下食管静脉曲张套扎术的护理配合[J].中华全科医学,2013,11(3):492-493.