CAJ | 학술논문

目的：分析老年人消化道出血的临床特征、病因和护理措施。方法：收治消化道出血老年患者40例，随机均分为对照组和观察组，对照组给予常规护理，观察组在对照组的基础上加用护理干预，对比两组的临床治疗效果。结果：40例患者中，中风合并应激性溃疡出血13例，胃及十二指肠溃疡8例，急性胃黏膜病变5例，胃癌4例，胃底食管静脉曲张破裂出血2例，其他疾病并发消化道出血4例，病因不明4例。观察组治疗有效率90%，明显优于对照组的70%(P＜0.05)。结论：老年消化道出血患者病因多为中风合并应激性溃疡出血或胃及十二指肠溃疡、胃癌等。临床实践中建议增加护理干预，以有效提高老年患者治疗有效率，提高老年患者生存质量。
목적：분석노년인소화도출혈적림상특정、병인화호리조시。방법：수치소화도출혈노년환자40례，수궤균분위대조조화관찰조，대조조급여상규호리，관찰조재대조조적기출상가용호리간예，대비량조적림상치료효과。결과：40례환자중，중풍합병응격성궤양출혈13례，위급십이지장궤양8례，급성위점막병변5례，위암4례，위저식관정맥곡장파렬출혈2례，기타질병병발소화도출혈4례，병인불명4례。관찰조치료유효솔90%，명현우우대조조적70%(P＜0.05)。결론：노년소화도출혈환자병인다위중풍합병응격성궤양출혈혹위급십이지장궤양、위암등。림상실천중건의증가호리간예，이유효제고노년환자치료유효솔，제고노년환자생존질량。
Objective:To analyze the clinical features,causes and nursing measures of elderly alimentary tract hemorrhage. Methods:40 elderly patients with alimentary tract hemorrhage were selected.They were randomly divided into the observation group and the control group.The control group was given conventional nursing,and the observation group was given nursing intervention on the basis of the control group.The clinical curative effects of two groups were compared.Results:In 40 cases,13 cases were stroke combined with stress ulcer bleeding;8 cases were gastric and duodenal ulcer;5 cases were acute gastric mucosal lesion;4 cases were gastric cancer;2 cases were gastric esophageal variceal bleeding;4 cases were other disease compbined with alimentary tract hemorrhage;4 cases were unknown etiology.The treatment effective rate(90%) of the observation group was much better than 70% of the control group(P<0.05).Conclusion:The etiologies of elderly patients with alimentary tract hemorrhage are stroke combined with stress ulcer bleeding or gastric and duodenal ulcer,gastric cancer and other.In the clinical practice,it suggests to increase the nursing intervention that can effectively improve the treatment effective rate of elderly patients and improve the life quality of patients.