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目的探讨食管胃底曲张静脉破裂大出血患者的综合化急救护理效果。方法选取本院2015年2月~2016年2月期间收治的84例食管胃底曲张静脉破裂大出血患者作为研究对象,随机分为对照组和观察组,各42例。2组患者入院后均行药物止血治疗,对照组患者给予常规急救护理,观察组给予综合化急救护理,比较2组患者止血效果并监测并发症及不良反应的出现情况。结果观察组止血总有效率(92.86%)显著高于对照组(76.19%),而并发症率(2.38%)显著低于对照组(11.90%),不良反应发生率(4.76%)也显著低于对照组(14.29%),差异比较均具有统计学意义(P<0.05)。结论食管胃底曲张静脉破裂大出血患者给予综合化急救护理,可有效提升止血效果,改善患者生命体征和生化指标,降低并发症风险,救治效果较为理想,值得临床推广。
Objective To investigate the comprehensive emergency nursing of patients with esophageal variceal bleeding. Methods Eighty-four patients with esophageal varices bleeding in our hospital from February 2015 to February 2016 were selected and randomly divided into control group and observation group, with 42 cases in each group. Two groups of patients were treated with drugs to stop bleeding after treatment, the control group of patients given conventional emergency care, the observation group were given comprehensive emergency care, hemostatic effect was compared between two groups and complications and adverse reactions were monitored. Results The total effective rate (92.86%) in the observation group was significantly higher than that in the control group (76.19%), while the complication rate (2.38%) was significantly lower than that in the control group (11.90%) and the incidence of adverse reactions was 4.76% In the control group (14.29%), the differences were statistically significant (P <0.05). Conclusion Comprehensive esophageal variceal bleeding in patients with esophageal varices given comprehensive emergency care can effectively improve the hemostatic effect, improve patient vital signs and biochemical indicators, reduce the risk of complications, the treatment effect is ideal, worthy of clinical promotion.