中国医药
中國醫藥
중국의약
CHINA MEDICINE
2013年
2期
265-267
,共3页
奥曲肽%食管静脉曲张%肝硬化%出血%护理
奧麯肽%食管靜脈麯張%肝硬化%齣血%護理
오곡태%식관정맥곡장%간경화%출혈%호리
Octreotide%Esophagus varicosity%Hepatic cirrhosis%Hemorrhage%Nursing
目的 探讨国产与进口奥曲肽治疗肝硬化食管静脉曲张破裂出血的疗效及护理方法.方法 将63例肝硬化食管静脉曲张破裂出血患者按给予国产奥曲肽和进口奥曲肽治疗分成观察组(32例)和对照组(31例),并给予心理护理、用药护理和出血护理等.观察奥曲肽治疗后24h内、25 ～72 h出血停止情况及出血停止1周内再出血情况及副作用,并与进口奥曲肽进行疗效对比.结果 观察组和对照组治疗后总有效率分别为84.4％(27/32)、87.1％(27/31),差异无统计学意义(P＞0.05).出血停止1周内再出血率观察组为3.1％(1/32),对照组为3.2％(1/31)差异无统计学意义(P＞0.05).2组均未发现明显副作用.结论 国产奥曲肽在治疗肝硬化门静脉高压食管静脉曲张破裂出血方面与进口奥曲肽疗效相当,无明显副作用,且更为经济.精心的护理对抢救肝硬化食管静脉曲张破裂出血患者有重要意义.
目的 探討國產與進口奧麯肽治療肝硬化食管靜脈麯張破裂齣血的療效及護理方法.方法 將63例肝硬化食管靜脈麯張破裂齣血患者按給予國產奧麯肽和進口奧麯肽治療分成觀察組(32例)和對照組(31例),併給予心理護理、用藥護理和齣血護理等.觀察奧麯肽治療後24h內、25 ～72 h齣血停止情況及齣血停止1週內再齣血情況及副作用,併與進口奧麯肽進行療效對比.結果 觀察組和對照組治療後總有效率分彆為84.4％(27/32)、87.1％(27/31),差異無統計學意義(P＞0.05).齣血停止1週內再齣血率觀察組為3.1％(1/32),對照組為3.2％(1/31)差異無統計學意義(P＞0.05).2組均未髮現明顯副作用.結論 國產奧麯肽在治療肝硬化門靜脈高壓食管靜脈麯張破裂齣血方麵與進口奧麯肽療效相噹,無明顯副作用,且更為經濟.精心的護理對搶救肝硬化食管靜脈麯張破裂齣血患者有重要意義.
목적 탐토국산여진구오곡태치료간경화식관정맥곡장파렬출혈적료효급호리방법.방법 장63례간경화식관정맥곡장파렬출혈환자안급여국산오곡태화진구오곡태치료분성관찰조(32례)화대조조(31례),병급여심리호리、용약호리화출혈호리등.관찰오곡태치료후24h내、25 ～72 h출혈정지정황급출혈정지1주내재출혈정황급부작용,병여진구오곡태진행료효대비.결과 관찰조화대조조치료후총유효솔분별위84.4％(27/32)、87.1％(27/31),차이무통계학의의(P＞0.05).출혈정지1주내재출혈솔관찰조위3.1％(1/32),대조조위3.2％(1/31)차이무통계학의의(P＞0.05).2조균미발현명현부작용.결론 국산오곡태재치료간경화문정맥고압식관정맥곡장파렬출혈방면여진구오곡태료효상당,무명현부작용,차경위경제.정심적호리대창구간경화식관정맥곡장파렬출혈환자유중요의의.
Objective To discuss the curative effect of octreotide and the nursing methods in the treatment of breakage and hemorrhage of esophagus varicosity.Methods All 63 patients with esophagus varicosity breakage and hemorrhage were divided into observation group and control group according to domestic and import octreotide.The patients in observation group were administered with domestic octreotide,while the patients in control group were administered with imported octreotide.All patients underwent mental nursing.The conditions of stopping bleeding in 72 h and bleeding again after stopping bleeding for one week,and side effect were observed and compared in observation group and control group.Results The total effective rates in observation group and control group were 84.4％ (27/32),87.1％ (27/31),respectively,and there were not significant difference (P ＞ 0.05).The rebleeding rate in observation group was 3.1％ (1/32),which was not higher than that in control group [(3.2％) (1/31)] (P ＞ 0.05).No serious side effects happened.Conclusions In the treatment of liver cirrhosis,esophagus varicosity,breakage and hemorrhage,domestic octreotide,with no obvious side effect,has almost the same curative effect as foreign octreotide and is more economical.For patients suffering from liver cirrhosis and esophagus varicosity,breakage and hemorrhage,careful nursing has vital significance.
