CAJ | 학술논문

目的：：探讨分析有效的术后护对食管胃底静脉曲张破裂患者内镜下进行止血治疗的有效性。方法：回顾我院2013年3月-2014年1月进行门诊收治入院的肝硬化静脉高压合并上消化道出血的患者病例84例，给予患者内镜指导下进行注射黏合剂联合静脉出血处的扎套治疗，给予对照组的患者常规的术后护理，治疗组患者在此基础上进行有效的护理干预，对两组患者的术后止血情况进行对比分析。结果：经治疗，治疗组与对照组患者的止血有效率分别是95.24%和78.57%。治疗组患者的有效率明显高于对照组，差异有显著性( P<0.05)。结论：有效的术后护理干预对内镜下行食管胃底静脉曲张破裂出血的患者临床治疗效果显著，可以有效的减少术后并发症的发生，达到止血的效果。
목적：：탐토분석유효적술후호대식관위저정맥곡장파렬환자내경하진행지혈치료적유효성。방법：회고아원2013년3월-2014년1월진행문진수치입원적간경화정맥고압합병상소화도출혈적환자병례84례，급여환자내경지도하진행주사점합제연합정맥출혈처적찰투치료，급여대조조적환자상규적술후호리，치료조환자재차기출상진행유효적호리간예，대량조환자적술후지혈정황진행대비분석。결과：경치료，치료조여대조조환자적지혈유효솔분별시95.24%화78.57%。치료조환자적유효솔명현고우대조조，차이유현저성( P<0.05)。결론：유효적술후호리간예대내경하행식관위저정맥곡장파렬출혈적환자림상치료효과현저，가이유효적감소술후병발증적발생，체도지혈적효과。
Objective: To study the analysis of the effective postoperative care of patients with esophageal gastric varices rupture under endoscopic hemostatic treatment is effective. Methods: to review the hospital in March 2013 - January 2014 with outpatient admitted cirrhosis of the liver vein pressure merger cases, 84 cases of upper gastrointestinal hemorrhage patients, give patients injections under endoscopic guidance of adhesive joint vein hemorrhage treatment, giving the control group, the progress on postoperative nursing care of patients with routine treatment group patients with effective nursing intervention on the basis of this, the two groups of patients with postoperative bleeding condition were analyzed. Results: after treatment, the treatment group and control group in patients with hemostatic effectiveness were 95.24% and 78.57%, respectively. In patients with effective treatment group was obviously higher than that of control group, with significant difference (P < 0.05). Conclusion: effective nursing intervention for postoperative endoscopic downward ruptured esophageal gastric varices bleeding in patients with clinical treatment effect significantly, can effectively reduce the occurrence of postoperative complications, to achieve the effect of the bleeding.