本文選題：肝硬化　切入點：上消化道出血　出處：《現(xiàn)代消化及介入診療》2017年01期 　論文類型：期刊論文

【摘要】：目的分析經(jīng)頸靜脈肝內(nèi)門體支架分流術(shù)(TIPS)治療肝硬化合并上消化道出血的圍術(shù)期護(hù)理的意義。方法統(tǒng)計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,隨機(jī)分成觀察組59例對照組59例。對照組患者僅予以常規(guī)護(hù)理,觀察組患者給予常規(guī)護(hù)理合并圍術(shù)期護(hù)理。觀察兩組患者護(hù)理后的滿意度以及術(shù)后并發(fā)癥發(fā)生情況。結(jié)果觀察組患者總滿意度為91.5%,對照組總滿意度為57.6%,觀察組總滿意度比對照組高,差異有統(tǒng)計學(xué)意義(P0.05)。觀察組出血率3.39%、發(fā)熱率8.48%、疸血癥率1.69%、肝功能損傷率1.69%、分流道狹窄率1.69%、分流道栓塞率1.69%以及肝性腦病率3.39%;而對照組出血率13.56%、發(fā)熱率22.03%、疸血癥率5.08%、肝功能損傷率3.39%、分流道狹窄率5.08%、分流道栓塞率6.78%以及肝性腦病率5.08%,觀察組在護(hù)理后出血和發(fā)熱的發(fā)生率低于對照組,差異有統(tǒng)計學(xué)意義(P0.05)。結(jié)論肝硬化合并上消化道出血患者給予常規(guī)護(hù)理合并圍術(shù)期護(hù)理能夠明顯提高對醫(yī)護(hù)人員的認(rèn)可程度,降低部分并發(fā)癥,是一種行之有效的護(hù)理對策。
[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.
【作者單位】： 四川大學(xué)華西醫(yī)院門診部;四川大學(xué)華西醫(yī)院消化內(nèi)科;
【分類號】：R473.6

【相似文獻(xiàn)】

相關(guān)期刊論文 前10條

1 楊建勇;;經(jīng)頸靜脈肝內(nèi)門體靜脈分流術(shù)(TIPS)的回顧與展望[J];臨床急診雜志;2000年03期

2 張永宏 ,周力;肝硬變門脈高壓癥患者24例TIPS術(shù)后遠(yuǎn)期療效觀察[J];貴州醫(yī)藥;2002年02期

3 蔣明德;秦建平;;TIPS的臨床應(yīng)用再評價[J];世界華人消化雜志;2003年12期

4 徐克;鐘紅珊;;迎接TIPS發(fā)展的第二個春天[J];放射學(xué)實踐;2006年05期

5 Douglas M.Coldwell;;The role of TIPS in the management of portal hypertension:a new perspective[J];介入放射學(xué)雜志;2006年12期

6 湯偉;;常規(guī)DSA技術(shù)在TIPS中的應(yīng)用[J];現(xiàn)代醫(yī)藥衛(wèi)生;2009年16期

7 皇甫瑜;秦建平;戴立里;蔣明德;;TIPS并發(fā)癥的研究進(jìn)展[J];西南國防醫(yī)藥;2009年12期

8 原姍姍;韓國宏;柏明;何創(chuàng)業(yè);殷占新;王建宏;祁興順;楊志平;張偉;;TIPS治療肝硬化頑固性腹水的預(yù)后因素分析[J];臨床肝膽病雜志;2011年05期

9 陳家飛;李蓮;李榮軍;;3D旋轉(zhuǎn)DSA在TIPS中的臨床應(yīng)用[J];局解手術(shù)學(xué)雜志;2011年05期

10 梁和業(yè);高普均;荊雪;韓雪晶;張晗;;TIPS臨床應(yīng)用現(xiàn)狀[J];吉林醫(yī)學(xué);2006年11期

相關(guān)會議論文 前10條

1 李昊;韓國宏;殷占新;劉杰;丁杰;吳開春;樊代明;;經(jīng)頸內(nèi)靜脈肝內(nèi)門腔靜脈分流術(shù)(TIPS)治療肝癌合并門靜脈高壓癥的臨床研究[A];第九次全國消化系統(tǒng)疾病學(xué)術(shù)會議專題報告論文集[C];2009年

2 楊建勇;;經(jīng)頸靜脈肝內(nèi)門體靜脈分流術(shù)(TIPS)的回顧與展望[A];中華醫(yī)學(xué)會第一次全國介入醫(yī)學(xué)學(xué)術(shù)會議論文匯編[C];2001年

3 楊建勇;向賢宏;;TIPS技術(shù)臨床應(yīng)用的新進(jìn)展[A];中華醫(yī)學(xué)會第十八次全國放射學(xué)學(xué)術(shù)會議論文匯編[C];2011年

4 ;TIPS治療原發(fā)性肝癌合并門靜脈高壓[A];第六屆西部介入放射學(xué)術(shù)會議寧夏醫(yī)學(xué)會放射學(xué)分會第四屆年會介入放射學(xué)新技術(shù)繼續(xù)教育學(xué)習(xí)班論文匯編[C];2009年

5 徐克;鐘紅珊;;迎接TIPS發(fā)展的第二個春天[A];第二屆醫(yī)學(xué)影像山東論壇論文集[C];2005年

6 王茂強(qiáng);高育t，

本文編號：1608094