肝硬化致上消化道出血患者临床护理体会.docVIP

肝硬化致上消化道出血患者临床护理体会 　　 　　 　　[摘要] 目的 探讨综合护理干预对肝硬化致上消化道出血患者的临床效果。 方法 选取本院2012年10月～2013年9月收治的96例肝硬化致上消化道出血患者，随机分为对照组和实验组，每组各48例。对照组采用常规治疗方法，实验组在常规治疗的基础上对其进行综合护理干预，观察两组患者的临床疗效，总结护理干预措施。 结果 对照组患者的总有效率为72.92%，死亡率为12.50%，实验组患者分别为93.75%、2.08%，两组的总有效率及死亡率比较，差异有统计学意义（P＜0.05）。 结论 对肝硬化致上消化道出血患者进行积极治疗的同时，做好护理工作可以提高临床疗效，降低患者的死亡率，值得临床进一步推广应用。 　　[关键词] 肝硬化；上消化道出血；临床护理体会；临床疗效 　　[中图分类号] R657.3+1[文献标识码] B[文章编号] 1674-4721（2014）04（c）-0122-03 　　 　　Clinical nursing experience of patients with upper gastrointestinal bleeding caused by cirrhotic 　　ZUO Ji-jun 　　Department of Internal Medicine,Traditional Chinese Medicine Hospital of Laiyang City in Shandong Province,Laiyang 265200,China 　　[Abstract] Objective To explore the clinical effect of comprehensive nursing intervention for patients with upper gastrointestinal bleeding caused by cirrhotic. Methods 96 patients with upper gastrointestinal bleeding caused by cirrhotic were selected in our hospital from October 2012 to September 2013 and randomly divided into the control group (n=48) and the experimental group (n=48).The control group was treated with conventional treatment and the experimental group was given conventional treatment based on the conventional treatment.The clinical curative effect of the two groups were observed and the nursing intervention measures were summarized. Results The total effective rate was 72.92% and the mortality rate was 12.50% in the control group,while the total effective rate was 93.75% and the mortality rate was 2.08% in the experimental group and there was a statistical difference of the total effective rate and the mortality rate between the two groups (P＜0.05). Conclusion Conducting active nursing for patients upper gastrointestinal bleeding caused by cirrhotic given the active treatment can improve the clinical curative effect and reduce the mortality rate.It is worthyoffurther clinicalpopularizationandapplication. 　　[Key words] Cirrhosis;Upper gastrointestinal bleeding;Clinical nursing exp