比较不同应急护理方法在急性上消化道出血患者内镜治疗中的应用效果。

选择2022年1月至2024年12月黄石市第五医院收治的100例急性上消化道出血患者，其中男性55例，女性45例；年龄27~65岁，平均（46.03±10.23）岁。分为观察组和对照组，每组各50例。对照组采用常规围术期护理，观察组采用围术期双轨道应急护理，均持续护理至患者出院。比较两组止血情况（即刻止血成功、72 h再出血及中转外科手术），比较内镜治疗前、出院时抑郁自评量表、焦虑自评量表、血红蛋白、白蛋白、前白蛋白的变化及住院时间、住院费用、护理满意度。

观察组72 h再出血率为2.00%，低于对照组的14.00%（P<0.05）。出院时，观察组抑郁自评量表、焦虑自评量表评分为（36.04±3.51）分、（37.46±4.02）分，均低于对照组的（40.27±3.92）分、（41.85±4.15）分（P<0.05）。出院时，观察组血红蛋白、白蛋白、前白蛋白为（128.32±15.23）g/L、（40.11±3.52）g/L、（225.69±15.32）mg/L，均高于对照组的（121.57±11.05）g/L、（36.87±3.20）g/L、（213.25±13.07）mg/L（P<0.05）；观察组住院时间、住院费用为（6.35±1.83）d、（0.86±0.09）万元，均短/少于对照组的（7.60±1.24）d、（0.92±0.13）万元（P<0.05）；观察组对护理的总满意度为94.00%，高于对照组的78.00%（P<0.05）。

围术期双轨道应急护理有助于降低急性上消化道出血患者内镜治疗的再出血率，缓解负面情绪、改善营养状态，值得临床推广。

To compare the effects of different emergency nursing methods in endoscopic treatment of patients with acute upper gastrointestinal bleeding.

A total of100 patients with acute upper gastrointestinal bleeding admitted to the Fifth Hospital of Huangshi City from January 2022 to December 2024 were selected; there were 55 males and 45 females, the age ranged from 27 to 65 years old, with an average of (46.03±10.23) years. They were randomly divided into an observation group and a control group, with 50 patients in each group, using a random number table. The control group received routine perioperative care, while the observation group received perioperative dual track emergency care, both of which continued until the patient was discharged. The hemostatic outcomes (immediate hemostasis success, rebleeding within 72 hours, and conversion to surgical intervention) were compared between the two groups, and the changes in self-rating depression scale (SDS), self-rating anxiety scale (SAS), hemoglobin (Hb), albumin (ALB), and prealbumin (PA) before endoscopic treatment and discharge, as well as the length of hospital stay, hospitalization costs, and nursing satisfaction were compared.

The observation group had a rebleeding rate within 72 hours of 2.00%, which was lower than the control group's 14.00% (P<0.05). At discharge, the SDS and SAS scores of the observation group were (36.04±3.51) points and (37.46±4.02) points, both of which were lower than those of the control group (40.27±3.92) points and (41.85±4.15) points (P<0.05). At discharge, the Hb, ALB, and PA levels in the observation group were (128.32±15.23) g/L, (40.11±3.52) g/L, and (225.69±15.32) mg/L, all higher than those in the control group (121.57±11.05) g/L, (36.87±3.20) g/L, and (213.25±13.07) mg/L (P<0.05). The hospitalization time and hospitalization expenses of the observation group were (6.35±1.83) days and (0.86±0.09) yuan, both of which were shorter/less than those of the control group (7.60±1.24) days and (0.92±0.13) yuan (P<0.05). The overall satisfactory rate of the observation group with nursing care was 94.00%, which was higher than the control group's 78.00% (P<0.05).

Perioperative dual track emergency nursing can help reduce the rebleeding rate of patients with acute upper gastrointestinal bleeding undergoing endoscopic treatment, alleviate negative emotions, and improve nutritional status. It is worthy of clinical promotion.