垂体后叶素联合普萘洛尔治疗肝硬化并发上消化道出血的疗效观察和护理体会

目的 探讨垂体后叶素联合普萘洛尔治疗肝硬化并发上消化道出血的效果和护理体会.方法 选择肝硬化并发上消化道出血的病人86例,随机数字表法分为对照组和观察组;两组均给予垂体后叶素和普萘洛尔等治疗;对照组给予常规护理,观察组给予优质护理.观察两组病人肝功能、平均止血时间、住院天数、1年内再出血次数、并发症及护理满意度.结果 观察组肝功能改善情况明显优于对照组,观察组在平均止血时间、住院天数少于对照组,差异有统计学意义(P<0.05);观察组护理满意度为90.71%,高于对照组为83.72%.结论 垂体后叶素联合普萘洛尔治疗肝硬化并发上消化道出血效果显著,具有协同作用;优质护理能够明显改善病人预后.

Clinical effect and Nursing experience of pituitrin and propranolol in treatment of upper gastrointestinal bleeding in patients with liver cirrhosis

Objective To investigate the clinical effect and nursing experience of pituitrin and propranolol in thetreatment of upper gas-trointestinal bleeding in patients with liver cirrhosis.Methods Eighty-six cases of cirrhosis complicated with upper gastrointestinal bleeding were selected and divided into control group and observation group.Pituitrin and propranolol were given in two groups.The control group received routine nursing care,Observation group were given quality nursing .The liver function,average hemostasis time, hospitalday,1yearsofre-bleedingtime,complications and nursingsati sfaction were observed in 2 groups.Results Liverfunctionin observation group were improved significantly better than that in the control group.The average hemostasis time,hospital duration of ob-servation group was less than control group (P<0.05).Nursing satisfaction of the observation group was 90.71%,significantly higher than the control group which was83.72%.Conclusion Posterior pituitrin combined with propranolol in the treatment of cirrhosis com-plicated with upper gastrointestinal bleeding effect is remarkable,has a synergistic effect.Quality nursing can significantly improve the prognosis of the patients.