TIPS手术治疗肝硬化合并上消化道出血的围术期护理

发布时间：2018-03-13 20:38

本文选题：肝硬化　切入点：上消化道出血　出处：《现代消化及介入诊疗》2017年01期 　论文类型：期刊论文

【摘要】：目的分析经颈静脉肝内门体支架分流术(TIPS)治疗肝硬化合并上消化道出血的围术期护理的意义。方法统计2013年8月至2014年8月我院收治的肝硬化合并上消化道出血患者118例,随机分成观察组59例对照组59例。对照组患者仅予以常规护理,观察组患者给予常规护理合并围术期护理。观察两组患者护理后的满意度以及术后并发症发生情况。结果观察组患者总满意度为91.5%,对照组总满意度为57.6%,观察组总满意度比对照组高,差异有统计学意义(P0.05)。观察组出血率3.39%、发热率8.48%、疸血症率1.69%、肝功能损伤率1.69%、分流道狭窄率1.69%、分流道栓塞率1.69%以及肝性脑病率3.39%;而对照组出血率13.56%、发热率22.03%、疸血症率5.08%、肝功能损伤率3.39%、分流道狭窄率5.08%、分流道栓塞率6.78%以及肝性脑病率5.08%,观察组在护理后出血和发热的发生率低于对照组,差异有统计学意义(P0.05)。结论肝硬化合并上消化道出血患者给予常规护理合并围术期护理能够明显提高对医护人员的认可程度,降低部分并发症,是一种行之有效的护理对策。
[Abstract]:Objective to analyze the perioperative nursing significance of transhepatic portal stenting shunt (TIPS) in the treatment of liver cirrhosis with upper gastrointestinal hemorrhage. Methods from August 2013 to August 2014, 118 patients with liver cirrhosis complicated with upper gastrointestinal hemorrhage were analyzed. 59 cases of control group were randomly divided into two groups: the control group (n = 59) and the control group (n = 59). The patients in the observation group were given routine nursing combined with perioperative nursing. The patients' satisfaction after nursing and the occurrence of postoperative complications were observed. Results the total satisfaction degree of patients in the observation group was 91.5, the total satisfaction degree in the control group was 57.6, the total satisfaction of the observation group was 57.6, and that of the observation group was 57.6. Satisfaction was higher than that in the control group. The difference was statistically significant (P 0.05). In the observation group, the bleeding rate was 3.39, the fever rate was 8.48, the jaundice rate was 1.69, the liver function injury rate was 1.69 and the shunt duct stenosis rate was 1.69. The shunt channel embolization rate was 1.69% and the hepatic encephalopathy rate was 3.390.In the control group, the bleeding rate was 13.56, the fever rate was 22.03 and the jaundice rate was 1.69. The liver function injury rate was 3.39%, the shunt channel stenosis rate was 5.08%, the shunt channel embolization rate was 6.78%, and the hepatic encephalopathy rate was 5.08. The incidence of hemorrhage and fever after nursing in the observation group was lower than that in the control group. Conclusion routine nursing combined with perioperative nursing in patients with liver cirrhosis complicated with upper gastrointestinal bleeding can obviously improve the recognition of medical staff and reduce some complications, which is an effective nursing strategy.
【作者单位】：四川大学华西医院门诊部;四川大学华西医院消化内科;
【分类号】：R473.6

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