目的 探讨应用微信平台实施个案管理的延伸护理模式在肝硬化合并食管胃底静脉曲张患者中的应用效果。方法 收集2021年1月至2022年12月本院消化内科收治的肝硬化合并食管胃底静脉曲张患者共110例，采用随机数字表法分为观察组与对照组，每组55例。对照组给予常规护理模式，观察组在对照组的基础上以微信平台的专业化个案管理延伸护理服务，观察2组患者在整个干预期内自我管理能力、主要并发症发生率。结果 干预后观察组患者自我管理行为量表评分中日常生活管理和用药管理较对照组高（P<0.05），并发症发生率低于对照组（25.5%比43.6%，P<0.05）。结论 通过微信平台实施个案管理的延续护理模式可加强患者疾病部分自我管理能力，提高遵医行为，降低疾病并发症的发生率。

Objective To explore the effect of application of case management extended care model in cirrhosis patient with esophageal and gastric varices. Methods A total of 110 cirrhosis patient with esophageal and gastric varices admitted to the Department of Gastroenterology from January 2021 to December 2022 were divided into observation group and control group using random number table, and each group had 55 patients. The control group was given the routine care mode, and the observation group received extended care service of professional case management based on the WeChat platform beside given the routine care mode. The self-management ability and the incidence of major complications in two group during the whole intervention period were observed. Results After the intervention, the self-management behavior scale scores including daily life management and medication management in the observation group were higher than those in the control group (P<0.05), and its complication rate was lower than that in the control group (25.5% vs. 43.6%, P<0.05). Conclusions The case management extended care model through WeChat platform can strengthen the self-management ability of cirrhosis patient with esophageal and gastric varices, improve the compliance behavior and reduce the incidence of disease complications.