中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2015年
2期
203-204,205
,共3页
急性上消化道出血%院内绿色通道%优化护理
急性上消化道齣血%院內綠色通道%優化護理
급성상소화도출혈%원내록색통도%우화호리
Acute upper gastrointestinal hemorrhage%Green channel%Optimize nursing
目的:探究采用院内绿色通道对急诊急性上消化道出血患者进行优化处理的临床价值。方法选取浙江省舟山医院中医骨伤院区急诊科开通急诊绿色通道前3年的急性上消化道出血患者132例作为传统对照组,开通后3年的急性上消化道出血患者182例作为绿色通道组,传统对照组采用传统的急救措施,绿色通道组采用绿色通道方案急救,比较两组患者住院天数、住院费用及输血量、手术比例、再出血比例与治愈出院比例等情况。结果绿色通道组患者平均住院天数和住院费用分别为(7.8±2.41)d和(4426.5±297.51)元,均少于传统对照组,差异有统计学意义(t 值分别为3.102,20.843;P<0.05);绿色通道组患者输血量、接受手术治疗、再出血、治愈出院情况分别为(384.9±39.7)ml,1例(0.5%),2例(1.1%),181例(99.5%),均优于传统对照组,差异有统计学意义(t/χ2值分别为15.445,8.347,4.857,11.174;P<0.05)。结论采用绿色通道急诊策略不仅缩短了患者的住院天数、减少了住院费用,而且降低了对患者的创伤,减少了病死率和并发症发生,提高了治愈率,具有重要的临床推广意义。
目的:探究採用院內綠色通道對急診急性上消化道齣血患者進行優化處理的臨床價值。方法選取浙江省舟山醫院中醫骨傷院區急診科開通急診綠色通道前3年的急性上消化道齣血患者132例作為傳統對照組,開通後3年的急性上消化道齣血患者182例作為綠色通道組,傳統對照組採用傳統的急救措施,綠色通道組採用綠色通道方案急救,比較兩組患者住院天數、住院費用及輸血量、手術比例、再齣血比例與治愈齣院比例等情況。結果綠色通道組患者平均住院天數和住院費用分彆為(7.8±2.41)d和(4426.5±297.51)元,均少于傳統對照組,差異有統計學意義(t 值分彆為3.102,20.843;P<0.05);綠色通道組患者輸血量、接受手術治療、再齣血、治愈齣院情況分彆為(384.9±39.7)ml,1例(0.5%),2例(1.1%),181例(99.5%),均優于傳統對照組,差異有統計學意義(t/χ2值分彆為15.445,8.347,4.857,11.174;P<0.05)。結論採用綠色通道急診策略不僅縮短瞭患者的住院天數、減少瞭住院費用,而且降低瞭對患者的創傷,減少瞭病死率和併髮癥髮生,提高瞭治愈率,具有重要的臨床推廣意義。
목적:탐구채용원내록색통도대급진급성상소화도출혈환자진행우화처리적림상개치。방법선취절강성주산의원중의골상원구급진과개통급진록색통도전3년적급성상소화도출혈환자132례작위전통대조조,개통후3년적급성상소화도출혈환자182례작위록색통도조,전통대조조채용전통적급구조시,록색통도조채용록색통도방안급구,비교량조환자주원천수、주원비용급수혈량、수술비례、재출혈비례여치유출원비례등정황。결과록색통도조환자평균주원천수화주원비용분별위(7.8±2.41)d화(4426.5±297.51)원,균소우전통대조조,차이유통계학의의(t 치분별위3.102,20.843;P<0.05);록색통도조환자수혈량、접수수술치료、재출혈、치유출원정황분별위(384.9±39.7)ml,1례(0.5%),2례(1.1%),181례(99.5%),균우우전통대조조,차이유통계학의의(t/χ2치분별위15.445,8.347,4.857,11.174;P<0.05)。결론채용록색통도급진책략불부축단료환자적주원천수、감소료주원비용,이차강저료대환자적창상,감소료병사솔화병발증발생,제고료치유솔,구유중요적림상추엄의의。
Objective To explore the clinical value of easy access optimization treatment for patients with acute upper gastrointestinal hemorrhage.Methods A total of 132 patients who suffered from upper gastrointestinal hemorrhage ( UGIH) were selected as control group in our emergency department three years before green channel, and 183 patients with UGIH were selected as experimental group during period of green channel.The control group just received traditional emergency treatment while the experimental group was given emergency easy access scheme, and the length of hospitalization, rate of operation, rehaemorrhagia and rate of recovered and discharged were compared.Results Patients who accessed treatment by green channel stayed in the hospital for (7.8 ±2.41) days and cost (4 426.5 ±297.51) Yuan averagely.Those of experimental group was lower than control group (t=3.102,20.843, respectively;P<0.05).The volume of blood transfusion, number of operational patient, rehaemorrhagia, cured patients were (384.9 ±39.7) ml,1 case (0.5%), 2 cases (1.1%) and 181 cases (99.5%),respectively, which were better than those of the control group ( t/χ2 =15.445, 8.347, 4.857, 11.174, respectively;P<0.05).Conclusions The green channel not only reduces the length of hospitalization, expense, patient′s trauma, fatality rate and complication, but also enhances cured rates.It is worthy to popularize in clinical.