100例上消化道出血患者护理分析.docVIP

100例上消化道出血患者的护理分析 　　[摘要] 目的 探讨上消化道出血患者的护理经验，并分析其临床效果。 方法 方便选择2010年1―2014年12月该院收治消化道出血患者100例，按照随机数字法分为两组，各50例，对照组实施常规护理，主要为被动观察患者生命体征变化，一旦发生异常及时告知医师进行抢救，日常护理上包括输液、病情观察等。观察组实施该研究综合护理干预，包括：口腔护理，针对褥疮的护理，饮食护理，生命体征观察，出血急救护理等，对所有患者住院期间相关情况进行观察，比较两组出血停止时间，住院时间，两组救治成功率。 结果 观察组出血停止时间为（15.6±2.1）h，显著早于对照组的（28.9±2.9）h（P0.05），住院时间为（6.1±0.3）d，显著短于对照组的（9.2±0.5）d（P0.05），观察组痊愈出院达到96.0%，显著高于对照组的80.0%（P0.05）。结论 针对消化道出血患者实施有效的护理干预，能促进患者早期止血、缩短患者住院时间，提高救治成功率。 　　[关键词] 上消化道出血；护理；临床价值 　　[中图分类号] R573 [文献标识码] A [文章编号] 1674-0742（2017）01（b）-0141-03 　　[Abstract] Objective To study the nursing experience of patients with upper gastrointestinal hemorrhage and analyze the clinical effect. Methods Convenient selection 100 cases of patients with upper gastrointestinal hemorrhage admitted and treated in our hospital from January 2010 to December 2014 were selected and randomly divided into two groups with 50 cases in each， the control group adopted the routine nursing， including the passive observation of vital sign changes of patients， once the abnormality occurred， the physicians should be informed to carry out the rescue in time， and the daily nursing included the infusion and observation of patient’s condition， and the observation group implemented the general nursing intervention， including the oral nursing， pressure ulcer nursing， dieting nursing， vital sign observation and bleeding emergency nursing， Results The related situation of all patients during the length of stay was observed and the bleeding stop time in the observation group was obviously earlier than that in the control group[（15.6±2.1）h vs （28.9±2.9）h]（P0.05）， the length of stay was obviously shorter than that in the control group（6.1±0.3）d vs （9.2±0.5）d（P0.05）， and the discharge rate in the observation group was obviously higher than that in the control group（96.0% vs 80.0%）（P0.05）. Conclusion The implementation of effective nursing intervention for patients with hemorrhage of digestive tract can promote the early hemostasis o