内镜治疗食管胃底静脉曲张破裂出血的护理风险管理研究
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摘要
目的探讨对食管胃底静脉曲张破裂出血患者行内镜治疗的基础上加之护理风险管理的效果。方法在2016年8月—2018年8月选取36例食管胃底静脉曲张破裂出血患者,按照计算机表法将其均分为两组,各18例,对参照组行基础护理,对实验组行护理风险管理;分析两组发生风险事件的几率。结果实验组发生风险事件的几率为16.67%(3/18),明显低于参照组发生风险事件的几率55.56%(10/18),组间数据对比差异有统计学意义(P <0.05)。结论在对食管胃底静脉曲张破裂出血患者行内镜治疗的基础上加之护理风险管理,可避免风险事件发生。
Objective To explore the effect of nursing risk management on patients with esophageal and gastric varices bleeding on the basis of endoscopic treatment. Methods From August 2016 to August 2018, 36 patients with esophageal and gastric varices bleeding were divided into two groups equally according to the computer table method, 18 cases in each group. The control group was given basic nursing, and the experimental group was given nursing risk management. The probability of risk events in the two groups was analyzed. Results The incidence of risk events in the experimental group was 16.67%(3/18), significantly lower than that in the control group of 55.56%(10/18). There was significant difference between the two groups(P < 0.05). Conclusion On the basis of endoscopic treatment for patients with esophagogastric variceal bleeding and nursing risk management, risk events can be avoided.
Objective To explore the effect of nursing risk management on patients with esophageal and gastric varices bleeding on the basis of endoscopic treatment. Methods From August 2016 to August 2018, 36 patients with esophageal and gastric varices bleeding were divided into two groups equally according to the computer table method, 18 cases in each group. The control group was given basic nursing, and the experimental group was given nursing risk management. The probability of risk events in the two groups was analyzed. Results The incidence of risk events in the experimental group was 16.67%(3/18), significantly lower than that in the control group of 55.56%(10/18). There was significant difference between the two groups(P < 0.05). Conclusion On the basis of endoscopic treatment for patients with esophagogastric variceal bleeding and nursing risk management, risk events can be avoided.
引文
[1]朱秀琴,郑娜,刘清华,等.急诊内镜治疗食管胃底静脉曲张破裂出血的护理风险管理[J].护理学杂志,2018,33(5):25-27.
[2]姚飞,万荣,李凯.三腔二囊管辅助急诊内镜下治疗食管胃底静脉曲张破裂出血的临床研究[J].中国内镜杂志,2016,22(8):57-60.
[3]石晓云,刘长江,魏志,等.内镜下序贯法联合部分脾栓塞术对食管胃底静脉曲张破裂出血的疗效[J].医学与哲学,2015,36(22):44-46,56.
[4]倪猛,张海洋.内镜下套扎联合硬化剂注射治疗乙型肝炎肝硬化并发食管胃底静脉曲张破裂出血患者疗效及其再出血危险因素分析[J].实用肝脏病杂志,2018,21(2):241-244.
[5]黎俊,董丽凤,李坪.内镜治疗肝癌合并门静脉癌栓引起的食管胃底静脉曲张出血的疗效分析[J].中国内镜杂志,2017,23(7):66-70.
[6]任佳佳,张小艳.改良三腔二囊管压迫止血联合内镜治疗肝硬化食管胃底静脉曲张破裂出血的临床疗效[J].肝脏,2017,22(12):1115-1117.
[7]柯达,吴振华.内镜下硬化剂注射治疗食管胃底静脉曲张破裂出血的临床疗效[J].中国病案,2018,19(5):100-102.
[8]从伟成,朱叶珊,高伟,等.内镜联合生长抑素治疗肝硬化合并食管胃底静脉曲张破裂出血的疗效研究[J].肝脏,2017,22(2):149-151.
[9]樊林.内镜下治疗门脉高压所致食管胃底静脉曲张破裂出血69例[J].实用临床医药杂志,2015,19(15):97-99.
[10]游芬,卢杰夫,庾艳军,等.食管胃底静脉曲张破裂出血的内镜治疗进展[J].广西医学,2015,37(12):1799-1802.
[11]王光恺,秦荣,朱淑军,等.内镜下套扎联合组织粘合剂注射治疗食管胃底静脉曲张破裂出血[J].中外医疗,2017,36(28):79-81.
[12]连娟,黄婵婷,付朝霞,等.肝硬化门静脉高压症致EGVB经内镜下止血术后早期再出血的危险因素分析[J].护理与康复,2017,16(8):839-842,845.
[2]姚飞,万荣,李凯.三腔二囊管辅助急诊内镜下治疗食管胃底静脉曲张破裂出血的临床研究[J].中国内镜杂志,2016,22(8):57-60.
[3]石晓云,刘长江,魏志,等.内镜下序贯法联合部分脾栓塞术对食管胃底静脉曲张破裂出血的疗效[J].医学与哲学,2015,36(22):44-46,56.
[4]倪猛,张海洋.内镜下套扎联合硬化剂注射治疗乙型肝炎肝硬化并发食管胃底静脉曲张破裂出血患者疗效及其再出血危险因素分析[J].实用肝脏病杂志,2018,21(2):241-244.
[5]黎俊,董丽凤,李坪.内镜治疗肝癌合并门静脉癌栓引起的食管胃底静脉曲张出血的疗效分析[J].中国内镜杂志,2017,23(7):66-70.
[6]任佳佳,张小艳.改良三腔二囊管压迫止血联合内镜治疗肝硬化食管胃底静脉曲张破裂出血的临床疗效[J].肝脏,2017,22(12):1115-1117.
[7]柯达,吴振华.内镜下硬化剂注射治疗食管胃底静脉曲张破裂出血的临床疗效[J].中国病案,2018,19(5):100-102.
[8]从伟成,朱叶珊,高伟,等.内镜联合生长抑素治疗肝硬化合并食管胃底静脉曲张破裂出血的疗效研究[J].肝脏,2017,22(2):149-151.
[9]樊林.内镜下治疗门脉高压所致食管胃底静脉曲张破裂出血69例[J].实用临床医药杂志,2015,19(15):97-99.
[10]游芬,卢杰夫,庾艳军,等.食管胃底静脉曲张破裂出血的内镜治疗进展[J].广西医学,2015,37(12):1799-1802.
[11]王光恺,秦荣,朱淑军,等.内镜下套扎联合组织粘合剂注射治疗食管胃底静脉曲张破裂出血[J].中外医疗,2017,36(28):79-81.
[12]连娟,黄婵婷,付朝霞,等.肝硬化门静脉高压症致EGVB经内镜下止血术后早期再出血的危险因素分析[J].护理与康复,2017,16(8):839-842,845.