前瞻性评估联合分级预防对急诊患者应激性溃疡发病的影响

Preventive effect of prospective evaluation combined with graded prevention on stress ulcer in emergency patients

目的探究前瞻性评估联合分级预防对急诊患者应激性溃疡发病的影响.方法选取2011-01/2013-06玉环县坎门街道社区卫生服务中心门诊急诊科收治的142例急诊患者为对照组,给予普通干预,选取2013-07/2016-01收治的163例急诊患者为观察组,给予前瞻性评估联合分级预防干预.比较2组患者应激性溃疡发病率、出血时间、住院时间和对干预的满意率.结果观察组和对照组患者应激性溃疡发病率分别为13.49%和32.39%,差异具有统计学意义(P<0.05).观察组患者的出血时间和住院时间短于对照组患者,差异具有统计学意义(2.65 d±2.43 d vs 4.27 d±2.01 d,17.44 d±8.67 d vs 22.67 d±7.95 d,P<0.05).观察组163例患者中97例非常满意,57例满意,4例一般,5例不满意,对照组142例患者中59例非常满意,55例满意,18例一般,10例不满意,观察组和对照组患者对干预的满意率分别为94.46%和80.27%,观察组显著高于对照组,差异具有统计学意义(P<0.05).结论给予急诊患者前瞻性评估联合分级预防能够显著降低应激性溃疡发病率,缩短出血时间和住院时间,提高患者对干预的满意率,可以在临床上进一步推广和使用.

AIM To evaluate the effect of prospective evaluation combined with graded prevention on the incidence of stress ulcer in emergency patients. METHODS From January 2011 to June 2013, 142 emergency patients treated at our hospital were included in a control group and given normal intervention, while 163 emergency patients treated from July 2013 to January 2016 at our hospital were included in an observation group and given prospective evaluation combined with graded intervention. The incidence of stress ulcer, bleeding time, length of stay and satisfaction rate were compared between the two groups.RESULTS The incidence of stress ulcer was significantly lower in the observation group than in the control group（13.49% vs 32.39%, P〈0.05）. The bleeding time and hospital stay were significantly shorter in the observation group than in the control group（2.65 d ± 2.43 d vs 4.27 d ± 2.01 d, 17.44 d ± 8.67 d vs 22.67 d ± 7.95 d, P〈0.05）. Of the 163 patients in the observation group, 97 were very satisfied, 57 were moderately satisfied, 4 were satisfied, and 5 were not satisfied with the intervention. Of the 142 patients in the control group, 59 were very satisfied, 55 were moderately satisfied, 18 were satisfied, and 10 were not satisfied with the intervention. The rate of satisfaction with the intervention was significantly higher in the observation group than in the control group（94.46% vs 80.27%, P〈0.05）.CONCLUSION Prospective evaluation combined with graded prevention can significantly reduce the incidence of stress ulcer, shorten bleeding time and hospitalization time, and improve patient satisfaction in emergency patients.