Analysis of causes and nursing experience of esophageal and gastric varicocele bleeding in cirrhosis patients
肝硬化合并食管胃底静脉曲张破裂出血诱因分析和护理体会

摘要

目的 探讨肝硬化合并食管胃底静脉曲张破裂出血诱因分析和护理体会。方法 选取2024年1月-2025年1月期间内收治的肝硬化合并食管胃底静脉曲张破裂出血患者60例，将其随机分为对照组（30例，采取常规护理方法）和观察组（30例，采用针对性护理措施），比较两组患者的临床护理效果，同时统计并分析出血诱因。结果 饮食不当、腹内压增高、情绪波动、劳累、感染等是导致肝硬化合并食管胃底静脉曲张破裂出血的主要诱因。观察组再出血发生率和并发症发生率低于对照组（P＜0.05）。观察组住院时间短于对照组（P＜0.05），护理满意度高于对照组（P＜0.05）。结论 通过对肝硬化合并食管胃底静脉曲张破裂出血患者实施针对性护理干预，患者出血得到有效控制，并发症发生率降低，住院时间缩短，护理满意度提高，有较高应用价值。

Abstract

Objective Exploring the analysis of the causes and nursing experience of esophageal and gastric variceal bleeding in patients with liver cirrhosis.
Methods Sixty patients with liver cirrhosis complicated with esophageal and gastric variceal bleeding admitted between January 2024 and January 2025 were randomly divided into a control group (30 cases, treated with conventional nursing methods) and an observation group (30 cases, treated with targeted nursing measures). The clinical nursing effects of the two groups of patients were compared, and the causes of bleeding were statistically analyzed.
Results Improper diet, increased intra-abdominal pressure, emotional fluctuations, fatigue, infection, etc. are the main causes of liver cirrhosis combined with esophageal and gastric variceal rupture and bleeding. The incidence of rebleeding and complications in the observation group was lower than that in the control group (P<0.05). The hospitalization time of the observation group was shorter than that of the control group (P<0.05), and the nursing satisfaction was higher than that of the control group (P<0.05).
Conclusion   By implementing targeted nursing interventions for patients with liver cirrhosis complicated by esophageal and gastric variceal bleeding, the bleeding of patients can be effectively controlled, the incidence of complications can be reduced, the length of hospital stay can be shortened, and nursing satisfaction can be improved, which has high practical value.