Blatchford分级管理在急性上消化道出血患者中的应用

Application of Blatchford hierarchical management in patients with acute upper gastrointestinal hemorrhage

目的探究Blatchford分级管理在急性上消化道出血患者中的应用效果。方法选择2020年1月至2023年1月江苏省如皋市中医院诊治的92例急性上消化道出血患者,依据随机数字表法将其分为对照组和观察组,每组46例。对照组采取常规护理,观察组应用Blatchford分级管理。比较两组干预前后我效能感量表(GSES)评分、粪便隐血试验转阴时间、恢复肠鸣音时间、止血时间及住院时间;观察并发症的发生情况。结果干预后,两组GSES评分均较干预前升高,且观察组高于对照组,差异有统计学意义(P<0.05)。观察组粪便隐血试验转阴时间、恢复肠鸣音时间、止血时间及住院时间短于对照组,差异有统计学意义(P<0.05)。观察组并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论Blatchford分级管理可缩短急性上消化道出血患者的临床恢复时间,降低并发症的发生率,预后良好。

Objective To explore the application effect of Blatchford hierarchical management in patients with acute upper gastrointestinal hemorrhage.Methods A total of 92 patients with acute upper gastrointestinal hemorrhage were selected from Rugao Hospital of Traditional Chinese Medicine of Jiangsu Province from January 2020 to January 2023.According to random number table method,the patients were divided into control group and observation group,with 46 cases in each group.The control group received routine nursing,and observation group received Blatchford hierarchical management.The general self-efficacy scale(GSES)score,fecal occult blood test negative time,bowel sound recovery time,hemostasis time,and hospitalization time were compared between two groups before and after intervention;the occurrence of complications was observed.Results After intervention,GSES scores in both groups were higher than before intervention,and those in observation group were higher than those in control group,and the difference were statistically significant(P<0.05).Fecal occult blood test negative time,bowel sound recovery time,hemostasis time,and hospitalization time were shorter than those in control group,and the differences were statistically significant(P<0.05).The incidence of complications in observation group was lower than that in control group,and the difference was statistically significant(P<0.05).Conclusion Blatchford hierarchical management can shorten the clinical recovery time of patients with acute upper gastrointestinal hemorrhage,reduce the incidence of complications,and has a good prognosis.