张艳

[摘要]目的 探讨针对性预防护理在消化道出血患者中的应用效果。方法 选取2017年1月～2018年1月我院收治的80例消化道出血患者作为研究对象，根据随机数字表法分为对照组和观察组，每组各40例。对照组采用常规护理服务，观察组采用针对性预防护理。比较两组的临床效果、住院时间以及并发症发生率。结果 观察组治疗总有效率（95.00%）高于对照组的（80.00%），差异有统计学意义（P<0.05）。观察组治疗后并发症总发生率（7.50%）低于对照组的 （27.50%），差异有统计学意义（P<0.05）。观察组住院时间短于对照组，差异有统计学意义（P<0.05）。结论 针对消化道出血患者而言，进行早治疗、早预防有助于降低并发症的发生，预防应激性上消化道出血发生，有益于患者尽早康复，对患者的治疗有重要意义，值得推荐。

[关键词]消化道出血;上消化道出血;针对性预防护理;应用效果

[中图分类号] R473.5          [文献标识码] A          [文章编号] 1674-4721（2019）1（b）-0245-03

[Abstract] Objective To explore the application effect of targeted preventive nursing in patients with gastrointestinal bleeding. Methods Eighty patients with gastrointestinal hemorrhage admitted to our hospital from January 2017 to January 2018 were selected as the subjects. The patients were divided into control group and observation group according to random number table method， 40 cases in each group. In the control group， routine nursing was used， while in the observation group， targeted preventive care was adopted. The clinical effect， hospital stay， and incidence of complications in the two groups were compared. Results The total effectiveness rate of patients with gastrointestinal hemorrhage in the observation group was 95.00%， higher than that in the control group accounting for 80.00%， with statistical significant （P<0.05）. The total incidence of postoperative complications in the observation group was 7.50%， lower than that in the control group accounting for 27.50%， with statistical difference （P<0.05）. The hospital stay of the patients in the observation group was shorter than that in the control group， with statistical difference （P<0.05）. Conclusion For patients with gastrointestinal hemorrhage， early treatment and early prevention contribute to the reduction of the incidence of complications and prevent the occurrence of upper gastrointestinal bleeding due to stress， which is beneficial to the early recovery of patients. It is of great significance for the treatment of patients， and is worthy of recommendation.

[Key words] Gastrointestinal bleeding; Upper gastrointestinal bleeding; Targeted preventive nursing; Application effect、

上消化道出血指的是患者食管、胃、十二指腸、病变引起的出血，胃空肠吻合术后的空肠病变出血等。导致该疾病的发生原因是由于食管疾病、胃、十二指肠疾病、肝胆疾病引起患者出现上消化道出血[1]。随着人们的生活方式发生改变，快节奏的生活方式及高强度的工作压力，使很多年轻人出现不同程度的消化道疾病，这些疾病的存在诱发了上消化道出血的发生。对于消化道出血患者而言，预防二次消化道出血十分重要，一旦患者出现二次出血，很有可能影响患者的身体健康，增加并发症发生率，并导致患者预后康复效果不佳甚至危及生命安全，因此要实施优质的处理做好积极预防措施。本研究对我院收治的消化道出血患者展开研究，探讨针对性预防护理在上消化道出血患者中的效果，现报道如下。

1资料与方法

1.1一般资料

选取2017年1月～2018年1月在我院接受治疗的80例消化道出血患者，按照随机数字表法分为对照组和观察组，每组各40例。……