护理干预对肝硬化腹水患者治疗效果的影响.docVIP

精品论文 参考文献 护理干预对肝硬化腹水患者治疗效果的影响 四川省自贡市富顺县中医院 ，四川 自贡 643200 中图分类号:R473.5文献标识码:B 【摘要】目的：评价护理干预对肝硬化腹水患者治疗疗效的影响。方法：随机将在本院住院治疗的126例肝硬化腹水分为观察组和对照组各63例，两组均给予肝硬化腹水常规治疗，对照组实施常规护理，观察组应用护理干预。结果：观察组肝硬化腹水知识明显高于对照组，消化道出血9.52%、肝性脑病6.35%明显低于对照组（26.93%、20.63%）（Plt;0.05）；治疗总有效率87.30%明显高于对照组69.84%（Plt;0.05）。结论：护理干预能提高肝硬化腹水患者对疾病的认知水平，降低并发症发生率，提高治疗效果。 【关键词】护理干预；肝硬化腹水；并发症 Influence of Nursing Intervention on the Treatment Effect of Patients with Liver Cirrhosis Ascites Nie Chunhua The traditional Chinese medicine hospital of FuShun County, zigong;643200;sichuan 【 Abstract 】 Objective: to evaluate the effect of nursing intervention therapy in patients with liver cirrhosis ascites. Methods: randomly to hospital treatment at our hospital in 126 cases of liver cirrhosis ascites were divided into observation group and control group 63 cases, two groups were given conventional treatment of cirrhotic ascites, the control group routine nursing, nursing intervention group application. Results: the liver cirrhosis ascites knowledge observation group was obviously higher than that of control group, 9.52% of gastrointestinal bleeding, hepatic encephalopathy 6.35% significantly lower than the control group (26.93%, 20.63%) (P lt; 0.05); Treatment is significantly higher than the control group total effective rate 87.30% 87.30% (P lt; 0.05). Conclusion: nursing intervention can improve the cognition of disease in patients with liver cirrhosis ascites, reduce the incidence of complications and improve treatment effect. Keywords: Nursing intervention; Cirrhosis ascites; Complication 肝硬化(hepatic cirrhosis)在我国发生率较高，临床表现为肝功能损害和门脉高压症状，是肝脏在慢性病因刺激下发生的进行性肝细胞弥漫性变性、坏死及纤维化，晚期常有大量腹水形成表现。腹水的出现标志着肝硬化患者的肝功能已到了失代偿阶段，此期并发症较多，其中最常见的是消化道出血、肝性脑病等，如得不积极的治疗处理，部分患者甚至因肝衰竭而死亡[1]。加强肝硬化腹水患者的护理有助于提高治疗效果，改善患者的预后。本文采取随机对照研究的方法，探讨护理干预对肝硬化腹水患者治疗效果的影响。 1 资料与方法 1.1临床资料 收集2013年7月～2014年12月期间在我院消化内科住院的126例肝硬化腹水患者纳入研究对象，均符合池肇春主编的《实用临床肝病学》中相关肝硬化腹水诊断标准[2]，报请医院伦理委员会批准，告知患者研究事项，且所有患者均签署知情同意书。男78例, 女48例；年龄39-76岁，平均（56.38plu