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慢性胃溃疡患者的针对性护理分析(1)
http://www.100md.com 2015年9月25日 中外医疗2015年第27期
     [摘要] 目的 分析针对性护理对慢性胃溃疡患者的临床疗效,总结临床护理经验,探讨其在未来治疗当中的应用。 方法 整群选取该院2012年4月—2015年1月收治的慢性胃溃疡患者进行临床分析,入选患者78例,可分析疗效病例共68例,随机分为实验组和对照组,每组34例患者。对照组对患者常规护理方法,实验组根据具体情况在对照组的基础上采用针对性护理,护理两个疗程后,观察临床护理效果。 结果 实验组的疗效显著率为61.76%;总有效率为88.24%,而对照组的疗效显著病例数占47.05%;治疗总有效率为79.41%。通过SPSS统计学软件进行分析后,发现实验组采用针对性护理的措施,患者的痊愈率、总有效率与对照组有明显差异具有统计学意义(P<0.05)。 结论 对于慢性胃溃疡患者的护理采用针对性护理措施进行护理,能显著提高治疗效果,临床效果确切,安全有效,值得临床推广应用。

    [关键词] 针对性护理;慢性胃溃疡;临床疗效

    [中图分类号] R473.5 [文献标识码] A [文章编号] 1674-0742(2015)09(c)-0129-03

    [Abstract] Objective To observe the clinical efficacy of targeted care for chronic gastric ulcer and summarize the clinical nursing experience and investigate the application of it in the future. Methods 78 cases with chronic gastric ulcer admitted in our hospital from April 2012 to January 2015 were selected, of them, a total of 68 cases were chosen for clinical analysis and randomly divided into the experimental group and the control group with 34 cases in each. Patients in the control group were treated by the usual care, and those in the experimental group were given targeted care based on the specific conditions of the patients combined with usual care. After nursing for 2 periods of treatment, the clinical nursing efficacy of the two groups was observed. Results The significant efficiency was 61.76% in the experimental group, and that was 47.05% in the control group; the overall response rate was 88.24% in the experimental group, and that was 79.41% in the control group. The differences in cure rate and overall response rate between the two groups were statistically significant(P<0.05) showed by the analysis via SPSS statistical software. Conclusion For patients with chronic gastric ulcer, targeted care is safe and effective, which can significantly improve the treatment effect with exact clinical effect, so it is worthy of clinical application and promotion.

    [Key words] Targeted care; Chronic gastric ulcer; Clinical efficacy

    胃溃疡(gastric ulcer),又叫做消化道溃疡病,是一种较为常见消化道疾病,一般医学上将其分为胃溃疡和十二指肠溃疡,食管、胃或十二指肠等是其常见的发病部位[1],有个别的发生于胃空肠吻合口附近以及含有胃黏膜的Meckel憩室内等处,犯病原因多样,临床症状复杂[2-3]。临床治疗中,中药(如苗岭舒胃方等)结合食疗同时进行的方法治疗效果不错[4]。手术治疗通常应用于呕血或便血情况。本文的主要目的是观察针对性护理对慢性胃溃疡患者的临床疗效,总结临床护理经验,探讨其在未来治疗当中的应用。本研究将整群选取该院2012年4月—2015年1月收治的慢性胃溃疡患者进行临床分析,入选患者78例,可分析疗效病例共68例,随机分为实验组和对照组,每组34例患者。对照组对患者常规护理方法,实验组根据具体情况在对照组的基础上采用针对性护理,护理两个疗程后,观察临床护理效果。该院对于慢性胃溃疡患者的护理采用针对性护理措施,治疗效果显著提高,临床效果确切,现报道如下。

    1 资料与方法

    1.1 一般资料

    将整群选取该院2012年4月—2015年1月收治的慢性胃溃疡患者进行临床分析,入选患者78例,可分析疗效病例共68例,随机分为实验组和对照组,每组34例患者,实验组男24例,女10例,年龄58~78岁,平均年龄为(73±6.2)岁,病程3~7.5年,平均(5.1±1.7)年,对照组男21例,女13例,年龄56~79岁,平均年龄为(71±8.3)岁,病程3~8.4年,平均(5.5±1.4)年,两组患者在年龄,性别,病程等方面相比差异无统计学意义(P>0.05)。 (张文静)
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