冰盐水与常规盐水对提高消化道出血患者止血效果与舒适度的影响

目的:探讨冰盐水与常规盐水对提高消化道出血患者止血效果与舒适度的影响。方法:将90例消化道出血患者随机分为冰盐水(0℃～4℃)组与常规盐水(22℃～25℃)组进行干预,每组各45例,记录两组的呕血消失时间、潜血转阴时间、引流管变清时间、临床疗效,采用Kolcaba研制的简化舒适状况量表[4]及疼痛视觉模拟评分法(VAS)评估患者的舒适度。结果:冰盐水组呕血消失时间、潜血转阴时间、引流管变清时间明显短于常规盐水组(P<0.05);冰盐水组的总有效率93.33%,明显高于常规盐水组73.33%(P<0.05);冰盐水组在疼痛VAS评分及生理、心理方面的舒适度明显优于常规盐水组(P<0.05)。结论:对消化道出血患者采取冰盐水进行干预,不仅可提高止血效果,而且还能提高患者的舒适度。

Objective: To investigate the effect of ice brine and conventional saline on the hemostatic effect and comfort of patients with gastrointestinal bleeding. Methods: 90 cases of digestive tract hemorrhage were randomly divided into saline(0~4℃) group and normal saline(22~25℃) intervention group, 45 cases in each group. The records of two groups of hematemesis disappear time, occult blood clearance time and drainage Guan Bianqing time, clinical efficacy, the simplified comfort situation developed Kolcaba [4] scale and visual analogue scale(VAS) assessment of patient comfort. Results: ice saline group hematemesis disappeared time, occult blood clearance time and drainage tube cleaning time was significantly shorter than normal saline group(P<0.05); the total efficiency of 93.33% ice saline group, was higher than that of the normal saline group(P<0.05 group); 73.33% normal saline saline group was significantly better than the comfort of ice in physical and physiological score, heart pain VAS(P<0.05). Conclusion: the intervention of ice brine in patients with gastrointestinal bleeding can not only improve the effect of hemostasis, but also improve the comfort of the patients.