内镜下食管静脉曲张出血硬化治疗术患者的护理干预

Nursing intervention of sclerosis treatment under endoscopic in patients with bleeding esophageal varices

目的探讨内镜下食管静脉曲张出血硬化治疗术患者的护理效果。方法选取本院2011年1月～2012年6月收治的食管静脉曲张出血硬化患者74例,均行内镜下食管静脉曲张出血硬化治疗术。将其随机分为两组,37例患者采用常规护理为对照组,37例患者采用护理干预为观察组,比较两组患者的临床疗效与并发症情况。结果观察组治疗成功率(97.3%)和食管静脉曲张消失率(78.4%)均明显高于对照组的83.8%、56.8%,观察组并发症发生率(5.4%)明显低于对照组(21.6%),差异均有统计学意义(P<0.05)。结论有效的护理干预可明显提高内镜下食管静脉曲张出血硬化治疗术的成功率,降低并发症发生率,改善患者预后,值得临床推广使用。

Objective To investigate the nursing effect of sclerosis treatment under endoscopic for patients with bleeding esophageal varices. Methods Seventy four patients with bleeding esophageal varices sclerosis selected in the hospital from January 2011 to June 2012, who accepted endoscopic sclerotherapy for esophageal variceal hemorrhage operation. Patients were randomly divided into two groups, 37 patients of control group were given routine care, 37 patients of observation group were given nursing intervention. Clinical efficacy and complications were compared between two groups. Results Treatment success rate （97.3%） and esophageal varices disappeared rate （78.4%） in observation group were significantly higher than control group （83.8%, 56.8%）. Complication rate in observation group （5.4%） was significantly lower than control group （21.6%）, the difference was statistically significant （P 0.05）. Conclusion Effective nursing intervention can obviously improve treatment success rate of endoscopic sclerotherapy for esophageal variceal hemorrhage operation and reduce the incidence of complications, which can also improve the prognosis of patients. It is worthy for clinical use.