密集套扎联合组织胶注射治疗食管胃底静脉曲张的疗效分析.docVIP

精品论文 参考文献 密集套扎联合组织胶注射治疗食管胃底静脉曲张的疗效分析 何顺辉 傅美丽 马豫茜 杜国平 欧阳贺月 欧阳少轩 （广东省佛山市顺德第一人民医院消化内科 528300） 【摘要】目的：探讨内镜下密集套扎联合组织胶注射治疗食管胃底静脉曲张的临床疗效。方法:选取我院2011年01月～2012年06月收治的食管胃底静脉曲张患者80例，随机分为观察组和对照组，两组患者均给予内镜下胃底曲张静脉组织胶注射治疗，观察组联合应用食管静脉曲张密集套扎，对照组联合应用食管静脉曲张螺旋形套扎，比较两组患者临床疗效；结果:观察组食管静脉曲张套扎总有效率92.5%，需二次套扎率37.5%，近期再出血率5%，3个月曲张静脉复发率12.5%；对照组分别为70%，80%，23.6%，34.2%（Plt;0.05）。两组胃底静脉曲张组织胶注射有效率分别为90%和87.5%（Pgt;0.05）；两组并发症发生率分别为25%和22.5%（Pgt;0.05）。结论:内镜下密集套扎联合组织胶注射治疗食管胃底静脉曲张的临床疗效显著，安全性好，依从性高，值得临床推广应用。 【关键词】食管胃底静脉曲张 密集套扎 组织胶注射 疗效分析 【中图分类号】R573 【文献标识码】A 【文章编号】2095-1752（2013）19-0089-02 The small incision minimally invasive total hip replacement perioperative nursing，Li haiyan,Guangxi hechi city first peoples hospital of orthopaedics,yizhou 546300 Chnia 【Abstract】Objective:Conclusion the small incision minimally invasive total hip replacement perioperative nursing. Methods:For 50 small incision minimally invasive total hip replacement in patients with routine psychological nursing, preoperative condition assessment preoperative function training, instruction, postoperative close observation condition, make body position nursing and postoperative functional exercise guidance, strengthen the postoperative complications of observation and nursing, etc. Series of nursing intervention measures.Experimental:50 cases of patients were successfully completed surgery, does not appear postoperative infection, blood vessels, nerve damage, clear joint dysfunction complications occurred, such as preoperative Harris score, 45.56plusmn;5.3 points, 4 weeks after surgery, Harris scoring 88.67plusmn;3.5 points. Conclusion:Small incision minimally invasive total hip replacement perioperative series of positive effective nursing intervention measures can make active rehabilitation in patients with functional exercise, effectively prevent the occurrence of postoperative complications and promote the rehabilitation, to improve the patients quality of life.