内镜硬化联合组织胶治疗危重食管胃底静脉曲张的配合及护理

Nursing patients with critical esophageal varices bleeding treated with endoscopy sclerotherapy and tissue glue

目的内镜硬化联合组织胶治疗危重食管胃底静脉曲张的配合及护理。方法对115例危重食管静脉曲张破裂大出血患者分别进行内镜下注射硬化剂,组织黏合剂与内镜下组织黏合剂与硬化剂联合注射治疗的配合及护理进行回顾性总结。结果 3种方法的急诊止血率分别为81.5%、95.8%、100%;术后发热率分别为73.8%、87.5%、76.9%;胸痛发生率分别为84.6%、70.8%、76.9%;静脉曲张消失率分别为64.5%、31.3%、90%。结论硬化剂与组织黏合剂联合治疗效果优于其他方法,治疗过程中全程护理具有重要的地位,做好内镜下硬化、组织胶治疗的前期准备、配合及病情观察护理,可更好地提高疗效。

Objective To probe nursing on patients with critical esophageal varices bleeding treated with endoscopy sclerotherapy and tissue glue. Methods 115 cases with critical esophageal varices bleeding were treated with endoscopy sclerotherapy, tissue glue or combination of sclerotherapy and tissue glue. The nursing was performed during and after the intervention. Results For the patients treated with endoscopy sclerotherapy, tissue glue or combination of sclerotherapy and tissue glue, the hemostasis rates were 81.5%, 95.8%, 100% respectively. The fever rates after the treatment were 64.5%, 31.3%, 90%, chest pain rates were 84.6%, 70.8%, 76.9% and the esophageal varices rates were 64.5%, 31.3 %, 90 % respectively. Conclusion The treatment with combination of sclerotherapy and tissue glue is much more efficient than other therapies. Nursing on patients plays an important role for patients with critical esophageal varices bleeding.