肝硬化合并上消化道出血的危险因素分析与护理对策

Analysis on risk factors and nursing strategies of cirrhosis with upper gastrointestinal hemorrhage

目的探讨影响肝硬化合并上消化道出血患者的危险因素与针对性护理对策。方法选取2015年1月至2017年6月我院接治的80例肝硬化患者作为研究对象,对其临床资料进行回顾性研究,根据有无合并上消化道出血分成观察组和对照组,分析和总结肝硬化合并上消化道出血的危险因素并探讨相应的护理对策。结果肝硬化病程、凝血酶原时间(PT)≥16 s、肝功能分级、食管静脉曲张度、胃底静脉曲张、腹水门静脉高压、不良生活习惯是肝硬化合并上消化道出血的主要因素(P<0.05);通过多因素logistic回归分析,表明肝硬化病程、PT≥16 s、食管静脉曲张程度、胃底静脉曲张及门静脉高压是独立风险因素(P<0.05)。结论影响肝硬化合并消化道出血的原因较多,应加强针对性护理干预,提升临床效果,促进患者康复。

Objective To explore the risk factors and targeted nursing strategies for patients with cirrhosis and upper gastrointestinal hemorrhage.Methods A total of 80 cases of patients with cirrhosis who were treated in our hospital from January 2015 to June 2017 were selected as research subjects.The clinical data were retrospectively studied.The patients were divided into observation group and control group according to the presence or absence of upper gastrointestinal bleeding.Analyze and summarize the risk factors of cirrhosis with upper gastrointestinal bleeding and explore the corresponding nursing strategies.Results The course of cirrhosis,prothrombin time(PT)≥16 s,liver function grading,esophageal varices level,gastric varices,ascites portal hypertension,and poor living habits were the main factors of cirrhosis with upper gastrointestinal bleeding(P<0.05).Multivariate logistic regression analysis showed that the course of cirrhosis,PT≥16 s,esophageal varices level,gastric varices and portal hypertension were independent risk factors(P<0.05).Conclusion There are many reasons for affecting cirrhosis with gastrointestinal hemorrhage.Targeted nursing intervention should be strengthened to improve clinical outcome and promote rehabilitation of the patients.