CAJ | 학술논문

目的探讨禁食与进食对胃溃疡伴出血患者止血效果的影响.方法对160例胃溃疡伴出血患者分为实验组和对照组,实验组患者允许进食常温下稀粥(流质),而对照组患者要求绝对禁食(不禁药),直至出血停止;2组均采用相同的治疗和护理,留置胃管分别于每日空腹及餐后2 h抽取胃液做pH值监测及潜血试验,连续监测至胃液潜血试验阴性连续3次为止,留取大便做潜血试验,同时观察胃肠道症状,评估出血情况,隔日复查血常规等,数据采用SPSS 13.0统计软件包进行统计分析,组间比较采用t检验.结果实验组胃内pH值明显升高,平均pH值和pH值>4的百分比均明显高于对照组,2组比较差异有显著性;实验组胃液潜血试验及大便潜血试验转阴性时间均较对照组明显缩短,2组比较差异有显著性.结论进食可以升高胃溃疡伴出血患者胃内pH值,减少胃酸对胃黏膜的损伤,从而加速止血,促进溃疡愈合.
목적 탐토금식여진식대위궤양반출혈환자지혈효과적영향.방법 대160례위궤양반출혈환자분위실험조화대조조,실험조환자윤허진식상온하희죽(류질),이대조조환자요구절대금식(불금약),직지출혈정지;2조균채용상동적치료화호리,류치위관분별우매일공복급찬후2 h추취위액주pH치감측급잠혈시험,련속감측지위액잠혈시험음성련속3차위지,류취대편주잠혈시험,동시관찰위장도증상,평고출혈정황,격일복사혈상규등,수거채용SPSS 13.0통계연건포진행통계분석,조간비교채용t검험.결과실험조위내pH치명현승고,평균pH치화pH치>4적백분비균명현고우대조조,2조비교차이유현저성;실험조위액잠혈시험급대편잠혈시험전음성시간균교대조조명현축단,2조비교차이유현저성.결론 진식가이승고위궤양반출혈환자위내pH치,감소위산대위점막적손상,종이가속지혈,촉진궤양유합.
Objective To discuss effect of fasting and taking food on hemostasis effect of patients with gastric ulcer and bleeding. Methods 160 patients with gastric ulcer and bleeding were divided in-to the experimental group and the control group, the experimental group was allowed to take lower ho-moiothermy water gruel (liquid), the control group was required absolute fasting (not medication), until bleeding stop. The two groups adopted identical treatment and nursing. The lienable stomach tube was placed respectively, everyday pH value monitor and occult blood test were carried out by taking out gas-tric juice when fasting and 2 hours after meals. Continuous monitoring tests continued till occult blood test of gastric liquid became negative for 3 times. Stool was kept for occult blood test, at the same time the gastrointestinal tract symptom and bleeding condition were observed, routine blood test was carried out one every other day. The data underwent statistical analysis with SPSS13.0 statistics software package, compari-son between two groups used t test. Results The inner stomach pH value of the experimental group in-creased obviously, the average pH value and percentage of pH above 4 was evidently higher than those of the control group. The time of occult blood test of gastric liquid and stool turning to negative in the experi-mental group was shorter than those of the control group. Conclusions Taking food can elevate pH of gastric liquid, reduce damage caused by gastric acid to gastric mucosa, thus hasten hemostasis process and promote healing.