| 尹春娥.不同禁食时间在肝硬化食管静脉曲张套扎术饮食护理中的应用研究[J].安徽医药,2019,23(2):330-332. |
| 不同禁食时间在肝硬化食管静脉曲张套扎术饮食护理中的应用研究 |
| Applied research of different fasting time in diet nursing of liver cirrhosis endoscopic variceal ligation |
| 投稿时间：2016-08-12 |
| DOI： |
| 中文关键词: 食管静脉曲张 套扎术 饮食护理 禁食时间 营养学指标 |
| 英文关键词: Esophageal varices Ligation Diet nursing Fasting time Nutrition index |
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| 中文摘要: |
| 目的 研究不同禁食时间在肝硬化食管静脉曲张套扎术饮食护理中的应用效果。方法 选取2012年6月至2015年6月三峡大学附属仁和医院行食管静脉曲张破裂出血内镜下套扎术治疗的182例病人为研究对象,根据入院时间分为观察组和对照组,每组91例。两组均给予围术期优质护理干预,观察组于套扎术后禁食8 h,对照组于套扎术后禁食24 h。比较两组术后并发症、再次出血率、营养学指标。结果 两组并发症发生率比较差异无统计学意义(15.38%比10.99%) (χ2=0.768,P<0.05)；术后第1天,观察组黑便率27.47%明显高于对照组15.38%(χ2=3.949,P<0.05),术后7~10 d,两组大便隐血、黑便、呕血等情况比较差异无统计学意义(χ2=0.423,1.022,1.006,P>0.05)；术后14 d,观察组血清前白蛋白(PA)、视黄醇结合蛋白(RBP)、铁蛋白(SF)含量分别为(251.32±36.42) mg/L、(28.72±4.12) μg/L、(168.47±15.25) μg/L,明显高于对照组的(232.45±33.25) mg/L、(24.36±3.38) μg/L、(160.12±14.12) μg/L(t=3.650,7.805,3.883,P<0.05)。结论 肝硬化食管静脉曲张套扎术后8 h开始进食安全性值得肯定,且有助于改善病人营养学指标,促进早日康复。 |
| 英文摘要: |
| Objective To investigate the application effects of different fasting time in diet nursing of liver cirrhosis endoscopic variceal ligation.Methods A total of 182 cases of patients who were performed endoscopic variceal ligation for esophageal variceal bleeding in Affiliated Renhe Hospital of China Three Gorges University from June 2012 to June 2015 were selected as the objects of study,and were assigned into observation group and control group according to the time of admission,with 91 cases in each group.Patients in the two groups were given high-quality perioperative nursing intervention.Patients in the observation group were performed abrosia for 8 h after ligation,and those in the control group were performed abrosia for 24 h after ligation.The postoperative complications,rebleeding rate and nutritional indexes of the two groups were compared.Results There was no significant difference in the incidence of complications between the two groups (15.38% vs. 10.99%) (χ2=0.768,P<0.05);on the first day after operation,the black stool rate of patients in the observation group was significantly higher than that in the control group (27.47% vs 15.38%) (χ2=3.949,P<0.05);on the 7th to tenth day after operation,no significant differences were found in occult blood,black stool and hematemesis between the two groups (χ2=0.423,1.022,1.006,P>0.05);on the fourteenth day after operation,the contents of serum prealbumin (PA),retinol binding protein (RBP) and serum ferritin (SF) of patients in the observation group were (251.32±36.42) mg/L,(28.72±4.12) μg/L and(168.47±15.25) μg/L,respectively,which were significantly higher than (232.45±33.25) mg/L,(24.36±3.38) μg/L and(160.12±14.12) μg/L of the control group (t=3.650,7.805,3.883,P<0.05).Conclusions Feeding at 8 hours after liver cirrhosis endoscopic variceal ligation has desirable security,and is conductive to improving the nutritional indexes and promoting the recovery of the patients. |
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