摘要
目的 探讨系统护理干预对肝硬化上消化道出血患者的疗效影响。方法 选取2012年3月~2014年12月我院收治的90例肝硬化上消化道出血患者作为研究对象,采用随机数字表法将其分为研究组和对照组,每组45例。两组患者均给予奥曲肽联合奥美拉唑治疗,同时对照组采用常规护理干预,研究组在常规护理基础上采用系统护理干预,比较两组患者治疗总有效率、止血后再出血情况及死亡率。结果 研究组的治疗总有效率为93.3%,显著高于对照组的71.1%（P〈0.01）;研究组的再出血率和死亡率分别为8.9%、2.2%,均低于对照组的31.1%、17.8%（P〈0.01）。结论 精心的系统护理干预措施可明显提高奥曲肽联合奥美拉唑治疗肝硬化上消化道出血的临床效果,降低再出血率、死亡率,促进患者早日康复,值得临床推广应用。
Objective To investigate the influence effect of systematic nursing intervention for patients with liver cirrhosis upper gastrointestinal bleeding. Methods 90 patients with liver cirrhosis upper gastrointestinal bleeding in our hospital from March 2012 to December 2014 were selected as research object.They divided into research group and control group by random digital table method, with 45 cases in each group.Two groups were treated with octreotide combined with omeprazole.Meanwhile,the control group was received routine nursing intervention,the research group was received systematic nursing intervention based on routine nursing intervention.The total effective rate,bleeding and mortality in two groups was compared. Results The total effective rate of research group was 93.3%,which was higher than 71.1% of control group （P〈0.05）.The rebleeding rate and mortality in research group were respectively 8.9%,2.2%, which were lower than 31.1% and 17.8% of control group （P〈0.05）. Conclusion Systematic nursing interventions can significantly improve the clinical efficacy of octreotide combined with omeprazole for liver cirrhosis upper gastrointesti- nal bleeding.h can reduce rebleeding rate and mortality and promote recovery.h is worthy of clinical widely used.
出处
《中国当代医药》
2015年第27期192-194,共3页
China Modern Medicine
关键词
系统护理干预
奥曲肽
奥美拉唑
肝硬化上消化道出血
Systematic nursing intervention
Octreotide
Omeprazole
Liver cirrhosis upper gastrointestinal bleeding
