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1、密集套扎联合组织胶注射治疗食管胃底静脉曲张的疗效分何顺辉傅美丽马豫茜杜国平欧阳贺月欧阳少轩(广东省佛山市顺德第一人民医院消化内科528300)【摘要】FI的：探讨内镜不密集套扎联合组织胶注射治疗食管胃底静脉曲张的临床疗效。方法:选取我院2011年01月〜2012年06月收治的食管胃底静脉曲张患者80例，随机分为观察组和对照组，两组患者均给予内镜下胃底曲张静脉组织胶注射治疗，观察组联合应用食管静脉曲张密集套扎，对照组联合应用食管静脉曲张螺旋形套扎，比较两组患者临床疗效：结果:观察组食管静脉曲张套扎总有效率92.5%,需二次套扎率3
2、7.5%,近期再出血率5%,3个月曲张静脉复发率12.5%；对照组分别为70%,80%,23.6%,34.2%(P<0.05)。两组胃底静脉曲张组织胶注射有效率分别为90%和87.5%(P>0.05)；两组并发症发生率分别为25%和22.5%(P>0.05)。结论镜卜密集套扎联合组织胶注射治疗食管胃底静脉曲张的临床疗效显著，安全性好，依从性高，值得临床推广应用。【关键词】食管胃底静脉曲张密集套扎组织胶注射疗效分析【屮图分类号】R573【文献标识码】A【文章编号】2095-1752(2013)19-0089-02
3、Thesmallincisionminimallyinvasivetotalhipreplacementperioperativenursing，Lihaiyan,Guangxihechicityfirstpeople'shospitaloforthopaedics,yizhou546300Chnia【Abstract】Objective:Conclusionthesmallincisionminimallyinvasivetotalhipreplacementperioperativenursing.Methods:For50
4、smallincisionminimallyinvasivetotalhipreplacementinpatientswithroutinepsychologicalnursing,preoperativeconditionassessmentpreoperativefunctiontraining,instruction,postoperativecloseobservationcondition,makebodypositionnursingandpostoperativefunctionalexerciseguidance
5、,strengthenthepostoperativecomplicationsofobservationandnursing,etc.Seriesofnursinginterventionmeasures.Experimental:50casesofpatientsweresuccessfullycompletedsurgery,doesnotappearpostoperativeinfection,bloodvessels,nervedamage,clearjointdysfunctioncomplicationsoccur
6、red,suchaspreoperativeHarrisscore,45.56±5.3points,4weeksaftersurgery,Harrisscoring88.67±3.5points.Conclusion:Smallincisionminimallyinvasivetotalhipreplacementperioperativeseriesofpositiveeffectivenursinginterventionmeasurescanmakeactiverehabilitationinp
7、atientswithfunctionalexercise,effectivelypreventtheoccurrenceofpostoperativecomplicationsandpromotetherehabilitation,toimprovethepatient'squalityoflife.【Keywords]TotalhipreplacementMinimallyinvasiveSmallincisionPerioperativecare食管胃底静脉曲张是临床常见病之一，曲张静脉极易发生破裂出血，出血发生率约占50
8、%〜60%，是上消化道出血的主要原因之一，出血量大，病情复杂，进展迅速，患者可因急性出血性休克而导致死亡，病死率可高达40%以上[1】，因此采取冇效方法预防和治疗食管胃底静脉曲张破裂出血具冇重要临床意义，本研究应用内镜下密集套扎联合组织胶注射治疗食管胃底静脉曲张
