Application effect of multidisciplinary collaborative diagnosis and treatment process in portal hypertension varicose veins bleeding patients in the second-class hospitals
LYU Pei-biao1 LI Jun1 CHEN Zhen2 ZHANG Han-cai3 LI Xing-hua1 LI Liu-fang1 LIN Dong-qin1
1. Department of General Surgery, the Third Affiliated Hospital of Sun Yat-sen University Yuedong Hospital, Guangdong Province, Meizhou 514000, China;
2. Department of General Surgery, People′s Hospital in Fengshun County,Guangdong Province, Fengshun 514000, China;
3. Department of Medicine, People′s Hospital in Fengshun County,Guangdong Province, Fengshun 514000, China
Abstract:Objective To approach application effect of multidisciplinary collaborative diagnosis and treatment process in portal hypertension varicose veins bleeding patients in the second-class hospitals. Methods The 60 clinical data of portal hypertension varicose veins bleeding patients in People′s Hospital in Fengshun County, Guangdong Province from January 2017 to February 2019 were retrospectively analyzed, who were divided into two group by different diagnostic procedure, each had 30 cases. The first hemostasis successful rate, waiting time for diagnosis and treatment, life quality, satisfaction with the process, clinical effect of two group were compared. Results The first hemostatic success rate (86.7%) of the observation group was higher than that of the control group (66.7%), and the waiting time for diagnosis and treatment ([20.4±6.2]min) was shorter than that of the control group ([39.5±9.8]min). The quality of life score ([20.8±3.9]points), the satisfaction of diagnosis and treatment process (96.7%) in the observation group were higher than those in the control group ([16.7±4.2]points, 73.3%), the total clinical effective rate of the observation group (100.0%) was higher than that of the control group (83.3%), the differences were statistically significant (P<0.05).Conclusion The multidisciplinary collaborative diagnosis and treatment process is applied to patients with portal hypertension and varicose bleeding in the second-class hospitals, the diagnosis and treatment efficiency, quality of life and patient satisfaction are improved, and the bleeding effect is good.
Ali SM,Wu S,Xu H,et al.A prospective study of endoscopic injection sclerotherapy and endoscopic variceal ligation in the treatment of esophageal varices[J].J Laparoendosc Adv Surg Tech A,2017,27(4):333-341.
Abd ElRahim AY,Fouad R,Khairy M,et al.Efficacy of carvedilol versus propranolol versus variceal band ligation for primary prevention of variceal bleeding[J].Hepatol Int,2018,12(1):75-82.
Tsao GG,Abraldes JG,Berzigotti A,et al.Portal hypertensive bleeding in cirrhosis:risk stratification,diagnosis,and management:2016 practice guidance by the American Association for the study of liver diseases[J].Hepatology,2017,65(1):310-335.
KondoT,MaruyamaH,KiyonoS,etal.Eradicationofesophageal varices by sclerotherapy combined with argon plasma coagulation:effect of portal hemodynamics and longitudinal clinical course[J].Dig Endosc,2016,28(2):152-161.
Pfisterer N,Dexheimer C,Fuchs EM,et al.Betablockers do not increase efficacy of band ligation in primary prophylaxis but they improve survival in secondary prophylaxis of variceal bleeding[J].Aliment Pharmacol Ther,2018,47(7):966-979.