郭丽芸 陈雅真

[摘要] 目的 探究在食管静脉曲张套扎术中应用优质护理干预的临床效果。方法 便利选取2017年1月—2018年11月期间于该院实施食管静脉曲张套扎术治疗的患者82例，随机将其分为常规组与干预组，各41例患者。常规组患者住院期间给予常规护理措施;干预组患者住院期间给予优质护理干预。结果 两组患者的止血成功率以及患者死亡率差异无统计学意义（χ2=0.513、0.000，P>0.05）。干预组患者再出血率（4.88%）低于常规组（19.51%）;干预组术后胸痛发生率（19.51%）低于常规组发生率（41.46%），差异有统计学意义（χ2=4.100，χ2=4.661，P<0.05）。干预组患者对于护理的满意率为100.00%，相对高于常规组（73.17%），差异有统计学意义（χ2=12.704，P<0.05）。 结论 对食管静脉曲张套扎术患者采用优质护理干预的临床效果较好，可降低术后并发症与再出血的发生风险，提高患者的护理满意度。

[关键词] 优质护理;食管静脉曲张;套扎术

[中图分类号] R473.6          [文献标识码] A          [文章编号] 1674-0742（2019）11（a）-0125-03

Application of Quality Nursing Intervention in Esophageal Varices Ligation

GUO Li-yun， CHEN Ya-zhen

Department of Gastroenterology， the First Affiliated Hospital of Xiamen University， Xiamen， Fujian Province， 361003 China

[Abstract] Objective To investigate the clinical effect of applying quality nursing intervention in esophageal varices ligation. Methods Convenient selected a total of 82 patients who underwent esophageal variceal ligation in our hospital from January 2017 to November 2018 were randomly divided into the conventional group and the intervention group. There were 41 patients in each group. Patients in the regular group were given routine nursing care during hospitalization; patients in the intervention group were given quality nursing intervention during hospitalization. Results There was no significant difference in the success rate of hemostasis and mortality between the two groups （χ2=0.513， 0.000， P>0.05）. The rebleeding rate of patients in the intervention group （4.88%） was lower than that in the conventional group （19.51%）. The incidence of postoperative chest pain in the intervention group （19.51%） was lower than that in the conventional group （41.46%）. The difference was statistically significant （χ2=4.100， 4.661， P<0.05）. The satisfaction rate of patients in the intervention group was 100%， which was higher than that in the conventional group （73.17%）. The difference was statistically significant （χ2=12.704， P<0.05）. Conclusion The clinical effect of high-quality nursing intervention for patients with esophageal variceal ligation is better， which can reduce the risk of postoperative complications and rebleeding， and improve the satisfaction of patients.

[Key words] High quality nursing; Esophageal varices; Ligation

食管靜脉曲张是肝硬化最危险和最常见的并发症，主要是因门脉高压引起。门脉高压可导致血液瘀滞于血管，逐渐形成静脉曲张。静脉曲张处血管壁较薄，胃部酸性物质反流或食用粗硬食物和刺激性食物可导致血管破裂，进而发生出血[1]。食管静脉曲张套扎术是治疗该疾病的首选方法，可达到止血和预防食管静脉曲张破裂出血，通常采用套扎术联合药物进行治疗，创伤较小，术后恢复快[2]。食管静脉曲张套扎术是在内镜下用食管静脉曲张套扎器把安装在内镜头端的弹性橡皮圈套扎在被吸入的曲张静脉上，使曲张静脉形成息肉状，血管内血流闭塞，数天后自行脱落，从而达到止血和减少再出血的目的。护理是该疾病治疗中必不可少的一环，良好的护理可提高患者生活质量，对于病情改善具有促进作用[3]。为探……