测体重与测腹围护理对肝硬化失代偿期腹水减少的效果比较

Effect Comparison Between Body Weight and Abdominal Circumference Measurement Nursing on Reducing Ascites in Liver Cirrhosis at Decompensated Period

目的研究测体重与测腹围护理对肝硬化失代偿期腹水减少的测量效果。方法选取2010至2013年我院收治的600例肝硬化失代偿期腹水患者为研究对象,随机分为两组各300例,分别通过测体重与测腹围的方法预测腹水减少的情况,并与超声检查结果相对比。结果短期测体重对腹水减少情况预测准确率为74.00%,误差较大,显著低于长期测量准确率(98.33%)。短期和长期测腹围对腹水减少情况预测准确率分别为95.33%和97.33%,均较高。短期测腹围准确率显著高于测体重准确率,差异具有统计学意义(P<0.05)。结论测体重与测腹围的方法可对肝硬化失代偿期腹水减少情况进行较准确的预测,操作简单,可作为常规护理监测项目,值得在临床中推广。

Objective To study the measurement effect of body weight measurement and abdominal circumference measurement on reducing ascites in liver cirrhosis at decompensated period. Methods 600 cases of liver cirrhosis patients with ascites at decompensated period treated in our hospital from 2010 to 2013 were selected as research objects and randomly divided into two groups, with 300 cases in each group. The two groups were conducted the method of body weight measurement and abdominal circumference measurement respectively, in order to predict the conditions of ascites reduction. The results were compared with the result of ultrasound examination. Results The accuracy rate of body weight measurement in predicting the conditions of ascites reduction at short term was 74.00%, the error was large, and significantly lower than 98.33%of long term measurement. The accuracy rate of abdominal circumference measurement at short term and long term were 95.33% and 97.33% respectively, both were high. The accuracy rate of abdominal circumference measurement at short term was significantly higher than that of body weight measurement at short term, with statistical difference （P〈0.05）. Conclusions The measurement method of body weight and abdominal circumference can make an accurate prediction about the conditions of ascites reduction in liver cirrhosis at decompensated period, with simple operation, and can be used as a monitoring project in routine nursing, which is worthy of promotion in clinic.