Application ofnasogastric fixation of the Sengstaken-Blakemore tube for hemostasis method in liver cirrhosis with upper gastrointestinal bleeding

  • DI Wenjia ,
  • NIU Aiyuan
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  • 1. Central Clinical Medical School, Baotou Medical College, Baotou 014040, China;
    2. Department of Gastroenterology, Baotou Central Hospital

Received date: 2025-07-18

  Online published: 2026-04-28

Abstract

Objective: To explore the impact of nasogastric fixation of the Sengstaken-Blakemore tube for hemostasis method on the efficacy, adverse reactions and anxiety of patients with liver cirrhosis and upper gastrointestinal bleeding. Methods: A total of 77 inpatients with upper gastrointestinal bleeding due to liver cirrhosis admitted to the East District of Baotou Central Hospital from January 2017 to June 2024 were selected. They were divided into Group A (26 inpatients) using nasogastric fixation of the Sengstaken-Blakemore tube for hemostasis, Group B (26 inpatients) using traditional suspension fixation of the Sengstaken-Blakemore tube for hemostasis, and Group C (25 inpatients) using medication alone for hemostasis. Patients in group A and group B were treated with the same drug as group C at the same time. The effects of anxiety symptoms (Hamilton Anxiety Scale), catheterization and adverse reactions before and after treatment were compared between group A and group B, as well as the clinical efficacy and hemostatic effect of the three groups. Results: After treatment, the anxiety symptom of group A was significantly lower than that of group B (P<0.05). There was no significant difference in hemostatic efficiency between group A and group B, but it was higher than that in group C (P<0.05). There was no significant difference in the success rate of one-time catheterization between group A and group B. The average catheterization time of group A was 14.38±1.92, which was significantly lower than that of group B (P<0.05). The incidence of intolerance, chest tightness, postural limitation discomfort, and nasal mucosal injury in group A were 30.80%, 15.40%, 26.90%, and 23.10%, respectively, which were significantly lower than those in group B (P<0.05). Conclusion: Compared to the traditional suspension fixation of the Sengstaken-Blakemore tube for hemostasis, the nasogastric fixation of the Sengstaken-Blakemore tube for hemostasis is convenient and simple, improves the patient's comfort, reduces the anxiety symptoms, and reduces the incidence of complications. And compared with the simple drug hemostasis effect, it is suitable for promotion and application in primary hospitals.

Cite this article

DI Wenjia , NIU Aiyuan . Application ofnasogastric fixation of the Sengstaken-Blakemore tube for hemostasis method in liver cirrhosis with upper gastrointestinal bleeding[J]. Journal of Baotou Medical College, 2026 , 42(3) : 74 -79 . DOI: 10.16833/j.cnki.jbmc.2026.03.015

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