溃疡性结肠炎相关结直肠癌变机制研究进展

Preventive effect of prospective evaluation combined with graded prevention on stress ulcer in emergency patients

AIM

To evaluate the effect of prospective evaluation combined with graded prevention on the incidence of stress ulcer in emergency patients.

METHODS

From January 2011 to June 2013, 142 emergency patients treated at our hospital were included in a control group and given normal intervention, while 163 emergency patients treated from July 2013 to January 2016 at our hospital were included in an observation group and given prospective evaluation combined with graded intervention. The incidence of stress ulcer, bleeding time, length of stay and satisfaction rate were compared between the two groups.

RESULTS

The incidence of stress ulcer was significantly lower in the observation group than in the control group (13.49% vs 32.39%, P < 0.05). The bleeding time and hospital stay were significantly shorter in the observation group than in the control group (2.65 d ± 2.43 d vs 4.27 d ± 2.01 d, 17.44 d ± 8.67 d vs 22.67 d ± 7.95 d, P < 0.05). Of the 163 patients in the observation group, 97 were very satisfied, 57 were moderately satisfied, 4 were satisfied, and 5 were not satisfied with the intervention. Of the 142 patients in the control group, 59 were very satisfied, 55 were moderately satisfied, 18 were satisfied, and 10 were not satisfied with the intervention. The rate of satisfaction with the intervention was significantly higher in the observation group than in the control group (94.46% vs 80.27%, P < 0.05).

CONCLUSION

Prospective evaluation combined with graded prevention can significantly reduce the incidence of stress ulcer, shorten bleeding time and hospitalization time, and improve patient satisfaction in emergency patients.