胃管自引流模式在上消化道早期再出血中的护理体会

Nursing experience of gastric tube self drainage mode in early rebleeding of upper gastrointestinal tract

目的探讨胃管自引流在上消化道内镜下止血后再出血早期预防的应用价值。方法本研究对2012年1月至2022年12月经北京市平谷区医院消化内镜中心胃镜检查和治疗后出血已停止的上消化道出血的71例患者放置胃管,连接透明引流袋,下垂在病床地面,持续观察并记录引流液颜色,通过颜色变化发现早期上消化道再出血。结果本组用胃管自引流方法发现早期再出血23例。结论胃管自引流方法简单有效,利于早期发现再出血,护理在监测的观察中起主要作用,护理观察方式还需进一步改进。

Objective To explore the application value and nursing experience of gastric tube self drainage in early detection of rebleeding in upper gastrointestinal bleeding.Method A total of 71 patients with upper gastrointestinal bleeding who stopped bleeding after gastroscopy examination and treatment at the Digestive Endoscopy Center of Pinggu District Hospital in Beijing from January 2012 to December 2022 were collected.The patients fasted,placed a gastric tube,connected a transparent drainage bag,and hung on the bed floor.The patients drank 200ml of water orally repeatedly each time.Under the pressure and gravity siphon effect of the stomach,the gastric fluid naturally flowed out when the patients were lying down.The main task of nursing was to observe the color of the drainage fluid,Early upper gastrointestinal rebleeding detected.Result 23 cases of early rebleeding were found in this group using gastric tube self drainage method.Conclusion The method of gastric tube self drainage is simple and effective,which is conducive to early detection of re bleeding.Nursing plays a major role in monitoring and observation,and the nursing observation method needs further improvement.