楊順
[摘要]目的 探討綜合護理在肝硬化腹腔積液患者中的應用效果。方法 選取2017年6月~2019年6月我院收治的80例肝硬化腹腔積液患者作為研究對象,根據(jù)隨機數(shù)字表法分為對照組與研究組,每組各40例。對照組實施常規(guī)護理,而研究組實施綜合護理,比較護理前后兩組的肝功能指標和臨床效果。結(jié)果 兩組護理后天冬氨酸氨基轉(zhuǎn)移酶(AST)及丙氨酸氨基轉(zhuǎn)移酶(ALT)肝功能指標低于護理前,清蛋白(ALB)高于護理前,差異均有統(tǒng)計學意義(P<0.05)。研究組護理后AST及ALT肝功能指標低于對照組,ALB高于對照組,差異均有統(tǒng)計學意義(P<0.05)。研究組護理后的臨床效果(95.00%)高于對照組(77.50%),差異有統(tǒng)計學意義(P<0.05)。結(jié)論 給予肝硬化腹腔積液患者綜合護理干預能提高臨床治療效果,顯著改善患者肝硬化指標,對改善患者預后有積極作用,值得在臨床推廣。
[關(guān)鍵詞]肝硬化腹腔積液;肝功能指標;臨床效果;綜合護理;護理體會
[中圖分類號] R473.5? ? ? ? ? [文獻標識碼] A? ? ? ? ? [文章編號] 1674-4721(2020)7(a)-0250-03
Application effect of comprehensive nursing in patients with cirrhotic ascites
YANG Shun
The Eighth Ward of Liver, Dalian Sixth People′s Hospital, Liaoning Province, Dalian? ?116031, China
[Abstract] Objective To explore the application effect of comprehensive nursing in cirrhotic ascites patients. Methods A total of 80 patients with cirrhotic ascites admitted to our hospital from June 2017 to June 2019 were selected as the research objects. According to the random number table method, they were divided into the control group and the research group, 40 cases in each group. The control group was given routine nursing, while the research group was given comprehensive nursing. Results After nursing, the indexes of liver function of glutamic-oxalacetic transaminase (AST) and glutamic-pyruvic transaminase (ALT) in the two groups were lower than those before nursing, and albumin (ALB) was higher than that before nursing, the differences were statistically significant (P<0.05). After nursing, AST and ALT liver function indexes in the research group were lower than those in the control group, and ALB was higher than that in the control group, with statistical differences (P<0.05). The clinical efficacy of nursing care in the research group (95.00%) was higher than that in the control group (77.50%), and the difference was statistically significant (P<0.05). Conclusion Comprehensive nursing intervention for cirrhotic ascites patients can improve the clinical treatment effect, significantly improve the indicators of cirrhosis, and improve the prognosis of patients with positive effects, it is worthy of clinical promotion.
[Key words] Cirrhotic ascites; Liver function index; Clinical efficacy; Comprehensive nursing; Nursing experience
肝硬化腹腔積液是肝硬化患者在失代償期的主要特征性表現(xiàn),患者常伴有肝臟進行性彌漫性損害,嚴重者會引起肝內(nèi)血循環(huán)紊亂,最終引起肝臟功能障礙[1]。肝硬化腹腔積液患者的療程較長,治愈難度較大,僅給予患者西藥治療往往難以取得理想的效果[2]。因此在治療中需要有效的護理干預以有效控制病情,提高治療效果[3]。臨床相關(guān)研究資料發(fā)現(xiàn),在肝硬化腹腔積液患者治療中實施綜合護理干預,有助于提高臨床治療效果,顯著改善肝功能指標,促進疾病康復[4]。本研究納入我院收治的80例肝硬化腹腔積液患者,分析對肝硬化腹腔積液患者實施綜合護理的應用效果,旨在為患者臨床治療和護理提供有價值的指導,現(xiàn)報道如下。
綜上所述,對肝硬化腹腔積液患者實施有效的護理干預可顯著提高患者的療效和改善患者的效果,值得在臨床推廣應用。
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(收稿日期:2020-01-13)