简介：【摘要】目的：探讨分析早期留置胃管在脑出血并发应激性溃疡出血患者临床治疗处置过程中的应用效果。 方法： 2018 年 2 月 -2020 年 3 月，将我院 68 例 脑出血并发应激性溃疡出血患者随机等分为两组，每组各 34 例，为参照组行常规性护胃抑酸治疗干预，针对研究组实施早期留置胃管治疗干预，对比两组的治疗有效率。 结果：研究组的治疗有效率 91.18% （ 31/34 ）高于参照组 64.71% （ 22/34 ），组间有差异（卡方 =6.928 ， P ＜ 0.05 ）。 结论：为脑出血并发应激性溃疡出血患者实施早期留置胃管治疗干预，能获取较好效果，值得临床推广。

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简介：　　摘要：目的 总结消化性溃疡并发急性上消化道出血的护理经验，提高救治水平。方法 对 38例消化性溃疡并发急性上消化道出血的患者，实施综合护理干预，包括密切观察病情，做好基础护理、输液和用药护理、胃镜下止血护理、心理护理、健康教育和饮食护理。结果 38例患者中 23例经内科保守治疗，综合护理干预后出血停止，治愈出院； 15例患者经药物治疗出血未能控制，采用电子胃镜下注射去甲肾上腺素生理盐水治疗，治疗后 13例出血得到控制，治愈出院， 2例效果不佳，转外科手术后出血控制，治愈出院。所有患者均未出现严重并发症。结论 对消化性溃疡并发急性出血的患者采取综合护理干预，可以降低死亡率，提高治愈率。  　　关键词：消化性溃疡；急性上消化道出血；护理  Abstract: Objective To summarize the nursing experience of peptic ulcer complicated with acute upper gastrointestinal hemorrhage and improve the treatment level. Methods 38 patients with peptic ulcer complicated with acute upper gastrointestinal hemorrhage were given comprehensive nursing intervention, including close observation of the condition, basic nursing, infusion and medication nursing, hemostasis nursing under gastroscope, psychological nursing, health education and diet nursing. Results among the 38 patients, 23 were treated conservatively by internal medicine, and after comprehensive nursing intervention, the bleeding was stopped and cured; 15 patients failed to control the bleeding after drug treatment, and they were treated by injecting noradrenaline physiological saline under electronic gastroscope. After treatment, 13 patients were controlled, cured and discharged, and 2 patients were not effective. After the operation, the bleeding was controlled and cured. No serious complications occurred in all patients. Conclusion comprehensive nursing intervention for patients with peptic ulcer complicated with acute hemorrhage can reduce the mortality and improve the cure rate.

简介：【摘 要】目的：讨论临床护理路径对ICU重型颅脑损伤患者发生应激性溃疡的影响。方法：选择60例ICU重型颅脑损伤的患者，分为两组，使用临床护理路径的为实验组，使用常规护理的为对照组。结果：两组的住院时间，抢救时间以及应激性溃疡发生率，认知功能以及躯体功能，护理满意率相比，差异较大（P

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简介：　　摘要：目的 总结消化性溃疡并发急性上消化道出血的护理经验，提高救治水平。方法 对 38例消化性溃疡并发急性上消化道出血的患者，实施综合护理干预，包括密切观察病情，做好基础护理、输液和用药护理、胃镜下止血护理、心理护理、健康教育和饮食护理。结果 38例患者中 23例经内科保守治疗，综合护理干预后出血停止，治愈出院； 15例患者经药物治疗出血未能控制，采用电子胃镜下注射去甲肾上腺素生理盐水治疗，治疗后 13例出血得到控制，治愈出院， 2例效果不佳，转外科手术后出血控制，治愈出院。所有患者均未出现严重并发症。结论 对消化性溃疡并发急性出血的患者采取综合护理干预，可以降低死亡率，提高治愈率。  　　关键词：消化性溃疡；急性上消化道出血；护理  　　 Abstract: Objective To summarize the nursing experience of peptic ulcer complicated with acute upper gastrointestinal hemorrhage and improve the treatment level. Methods 38 patients with peptic ulcer complicated with acute upper gastrointestinal hemorrhage were given comprehensive nursing intervention, including close observation of the condition, basic nursing, infusion and medication nursing, hemostasis nursing under gastroscope, psychological nursing, health education and diet nursing. Results among the 38 patients, 23 were treated conservatively by internal medicine, and the bleeding was stopped and cured after comprehensive nursing intervention; 15 patients failed to control the bleeding after drug treatment, and they were treated by injecting norepinephrine physiological saline under electronic gastroscope. After treatment, 13 patients were controlled, cured and discharged, 2 patients had poor effect, and the bleeding was controlled and cured after the operation. No serious complications occurred in all patients. Conclusion comprehensive nursing intervention for patients with peptic ulcer complicated with acute hemorrhage can reduce the mortality and improve the cure rate.

简介：　　摘要：目的 总结消化性溃疡并发急性上消化道出血的护理经验，提高救治水平。方法 对 38例消化性溃疡并发急性上消化道出血的患者，实施综合护理干预，包括密切观察病情，做好基础护理、输液和用药护理、胃镜下止血护理、心理护理、健康教育和饮食护理。结果 38例患者中 23例经内科保守治疗，综合护理干预后出血停止，治愈出院； 15例患者经药物治疗出血未能控制，采用电子胃镜下注射去甲肾上腺素生理盐水治疗，治疗后 13例出血得到控制，治愈出院， 2例效果不佳，转外科手术后出血控制，治愈出院。所有患者均未出现严重并发症。结论 对消化性溃疡并发急性出血的患者采取综合护理干预，可以降低死亡率，提高治愈率。  　　关键词：消化性溃疡；急性上消化道出血；护理  　　 Abstract: Objective To summarize the nursing experience of peptic ulcer complicated with acute upper gastrointestinal hemorrhage and improve the treatment level. Methods 38 patients with peptic ulcer complicated with acute upper gastrointestinal hemorrhage were given comprehensive nursing intervention, including close observation of the condition, basic nursing, infusion and medication nursing, hemostasis nursing under gastroscope, psychological nursing, health education and diet nursing. Results among the 38 patients, 23 were treated conservatively by internal medicine, and the bleeding was stopped and cured after comprehensive nursing intervention; 15 patients failed to control the bleeding after drug treatment, and they were treated by injecting norepinephrine physiological saline under electronic gastroscope. After treatment, 13 patients were controlled, cured and discharged, 2 patients had poor effect, and the bleeding was controlled and cured after the operation. No serious complications occurred in all patients. Conclusion comprehensive nursing intervention for patients with peptic ulcer complicated with acute hemorrhage can reduce the mortality and improve the cure rate.

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简介：摘要：消化性溃疡是一种较为常见的疾病，主要包括胃溃疡和十二指肠溃疡，溃疡伴发出血可表现为呕血、便血和不同程度的周围循环衰竭，严重者甚至危及生命，因此给予患者有效治疗的同时应予以精心的护理，使患者能及时康复。幽门螺旋杆菌(Hp)是消化性溃疡发生和复发的关键因素，故指导患者规范的用药对疾病的转归有着重要的意义。2016 年11 月-2018 年10 月收治消化性溃疡患者 148 例，对护理措施及效果进行回顾性分析，现报告如下。

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