脑出血合并上消化道出血的临床护理

The clinical care for cerebral hemorrhage merged with upper gastrointestinal bleeding

目的:探讨循症护理在脑出血合并上消化道出血患者的护理效果。方法:选取2009年3月至2011年3月间,我院收治的脑出血合并上消化道出血患者78例,作为研究对象,随机将其分为观察组和对照组,对照组患者按照脑出血患者常规护理方法进行护理,观察组患者采用循症护理方法进行护理,比较两组患者止血所用时间、住院治疗期间的并发症发生率及死亡率。综合评价循症护理对脑出血合并上消化道出血患者的护理效果。结果:两组患者经过治疗及精心护理后,71例患者出血均得到有效控制,比较止血时间、住院期间并发症发生率及死亡率,观察组较对照组具有明显优势,P<0.05,均具有统计学意义。结论:应用循症护理原理对脑出血合并上消化道出血患者进行护理,采用已经确证的方法,针对性地预防患者治疗过程中易出现的不利情况,有效控制了患者上消化道及脑出血,缩短了治疗时间,降低了死亡率。

Objective： To investigate the results for Evidence-Based Nursing in the treatment of cerebral hemorrhage merged with upper gas-trointestinal bleeding. Methods： 78 patients with cerebral hemorrhage merged with upper gastrointestinal bleeding from March 2009 to March 2011 treated in our hospital were chosen as the research object. They were randomly divided into the control group and the observation group. The control group patients took routine care, the observation group were treated with Evidence-Based Nursing. The time to stop bleeding, the rate of complications and mortality during hospitalization were compared . Evaluate comprehensively the effect of Evidence-Based Nursing in the treatment of cerebral hemorrhage merged with upper gastrointestinal bleeding. Results： After treatment and intensive care for two groups of patients, 71 patients have been effectively controlled bleeding. Compared the time to stop bleeding, the rate of complications and mortality during hospitalization, the observation group had a clear advantage, P 〈0.05. They all had statistically significant. Conclusion： Take Evidence- Based Nursing for cerebral hemorrhage merged with upper gastrointestinal bleeding. Take methods which have been confirmed and targeted prevention and treatment in patients prone to adverse situations. It can control management of patients with upper gastrointestinal and brain bleeding effectively, and shorten the treatment time, reduced the mortality rate.