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精细化护理干预在无痛内镜下套扎术联合组织胶和硬化剂注射治疗肝硬化食管胃底静脉曲张破裂出血中的应用进展分析 被引量:14

Advances in Application of Refined Nursing Intervention in Painless Endoscopic Ligation Combined with Tissue Glue and Sclerosing Agent Injection in the Treatment of Esophageal and Gastric Varices Bleeding Due to Cirrhosis
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摘要 食管胃底静脉曲张破裂出血(Esophageal and Gastric Varices,EGVB)是肝硬化患者较为严重的并发症,在临床上有较高的发病率。其发病通常具有特点:发病快、出血量大、出血部位处理难度高,同时伴有较高的死亡率。目前,所有的医疗相关治疗方式中,采用内镜下止血是最有效的治疗方式,同时在医学史上也得到了相关的认可,其主要治疗方法是通过对静脉曲张进行套扎、对其使用组织胶和硬化剂联合的方式进行注射治疗。组织胶作为一种水样固化物,在闭塞血管和抑制静脉曲张出血的治疗中有显著的效果,同时联合硬化剂(聚桂醇)的使用可以有效控制静脉曲张出血,达到理想的治疗效果。本文通过对精细化护理干预在无痛内镜下套扎术联合组织胶和硬化剂注射治疗肝硬化食管胃底静脉曲张破裂出血中的应用进行分析,探讨相关护理理论。 Esophageal and gastric varices(EGVB)is one of the most dangerous and common complications in patients with cirrhosis,and has a high incidence in clinical practice.Its onset usually has characteristics:rapid onset,large amount of bleeding,high difficulty in handling bleeding sites,and high mortality.Endoscopic hemostasis is the most effective treatment in all current medical-related treatments,and it has also been recognized in medical history.The main treatment is to ligate the varicose vein and inject the varicose vein with tissue glue and sclerosing agent.As a water-like solidified substance,tissue glue has a significant effect in the treatment of occluding blood vessels and inhibiting variceal hemorrhage.At the same time,the use of combined sclerosing agent(polyguol)can effectively control variceal hemorrhage and achieve the desired therapeutic effect.This article analyzes the application of fine nursing intervention in painless endoscopic ligation combined with tissue glue and sclerotherapy in the treatment of cirrhotic esophagogastric varices bleeding,and explores relevant nursing theory.
作者 韦妹英 WEI Mei-ying(Guilin Medical College Affiliated Hospital,Guilin,Guangxi 541001)
出处 《智慧健康》 2020年第7期71-73,共3页 Smart Healthcare
关键词 精细化护理 内镜 套扎术 组织胶 食管 胃底 静脉曲张 Fine care Endoscopy Ligation Tissue glue Esophagus Fundus Varicose veins
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