中外医疗
中外醫療
중외의료
China Foreign Medical Treatment
2015年
29期
157-159
,共3页
肝硬化%饮食护理干预%上消化道出血
肝硬化%飲食護理榦預%上消化道齣血
간경화%음식호리간예%상소화도출혈
Liver cirrhosis%Dietary nursing intervention%Upper gastrointestinal bleeding
目的：探讨和研究采用饮食护理干预方法，在治疗肝硬化并发消化道出血的应用价值和疗效。方法整群选取该院自2013年8月—2015年2月收治的肝硬化合并上消化道出血患者共122例，按随机原则将其分为观察组61例和对照组61例。观察组患者采用限制蛋白质饮食护理干预，对照组则采用常规饮食护理，10 d后观察和比较该两组患者的护理效果。结果经过10 d的护理，观察组护理后的总有效率为93.4%，显著高于对照组(80.3%)，此外，观察组的出血复发率、死亡率及肝性脑病的发生率分别为（9.8%、1.6%和6.6%）均低于对照组（分别为19.7%、8.2%和19.7%），两组患者治疗总有效率、复发率、死亡率和肝性脑病的发生率对比，差异有统计学意义（P＜0.05）。结论对肝硬化并发上消化道出血患者，采取饮食干预护理，可明显提高患者的临床治疗效果和生活质量，值得临床应用和推广。
目的：探討和研究採用飲食護理榦預方法，在治療肝硬化併髮消化道齣血的應用價值和療效。方法整群選取該院自2013年8月—2015年2月收治的肝硬化閤併上消化道齣血患者共122例，按隨機原則將其分為觀察組61例和對照組61例。觀察組患者採用限製蛋白質飲食護理榦預，對照組則採用常規飲食護理，10 d後觀察和比較該兩組患者的護理效果。結果經過10 d的護理，觀察組護理後的總有效率為93.4%，顯著高于對照組(80.3%)，此外，觀察組的齣血複髮率、死亡率及肝性腦病的髮生率分彆為（9.8%、1.6%和6.6%）均低于對照組（分彆為19.7%、8.2%和19.7%），兩組患者治療總有效率、複髮率、死亡率和肝性腦病的髮生率對比，差異有統計學意義（P＜0.05）。結論對肝硬化併髮上消化道齣血患者，採取飲食榦預護理，可明顯提高患者的臨床治療效果和生活質量，值得臨床應用和推廣。
목적：탐토화연구채용음식호리간예방법，재치료간경화병발소화도출혈적응용개치화료효。방법정군선취해원자2013년8월—2015년2월수치적간경화합병상소화도출혈환자공122례，안수궤원칙장기분위관찰조61례화대조조61례。관찰조환자채용한제단백질음식호리간예，대조조칙채용상규음식호리，10 d후관찰화비교해량조환자적호리효과。결과경과10 d적호리，관찰조호리후적총유효솔위93.4%，현저고우대조조(80.3%)，차외，관찰조적출혈복발솔、사망솔급간성뇌병적발생솔분별위（9.8%、1.6%화6.6%）균저우대조조（분별위19.7%、8.2%화19.7%），량조환자치료총유효솔、복발솔、사망솔화간성뇌병적발생솔대비，차이유통계학의의（P＜0.05）。결론대간경화병발상소화도출혈환자，채취음식간예호리，가명현제고환자적림상치료효과화생활질량，치득림상응용화추엄。
Objective To explore the clinical value and efficacy of dietary nursing intervention for patients with liver cir-rhosis complicated by gastrointestinal bleeding. Methods A total of 122 cases with liver cirrhosis complicated by upper gastrointestinal bleeding admitted in our hospital from August 2013 to February 2015 were selected and randomly divided into the observation group and the control group with 61 cases in each. Patients in the observation group were given re-stricted protein diet nursing intervention, while those in the control group were given the conventional diet nursing inter-vention. And the nursing efficacy of the two groups was observed and compared after 10 days of nursing. Results After 10 days of nursing, the overall response rate of nursing in the observation group was much higher than that in the control group (93.4% vs 80.3%) with statistically significant difference. The recurrence rate of bleeding was obviously lower in the obser-vation group than that in the control group(9.8%vs 19.7%) with statistically significant difference. The mortality was signifi-cantly lower in the observation group than that in the control group (1.6% vs 8.2%) with statistically significant difference. The incidence of hepatic encephalopathy was much lower in the observation group than that in the control group (6.6% vs 19.7%) with statistically significant difference (P<0.05). Conclusion For patients with liver cirrhosis complicated by upper gastrointestinal bleeding, dietary nursing intervention can effectively improve the clinical treatment effect and quality of life, so it is worthy of clinical application and promotion.
