综合护理在ERCP联合EST取石围手术期的应用及效果分析

目的 探讨综合护理在十二指肠镜逆行胰胆管造影(ERCP)联合内镜下乳头括约肌切开(EST)取石治疗胆总管结石的应用效果。方法 选取 2017 年 3 月至 2018 年 3 月 陆军军医大学第一附属医院收治的 208 例行 ERCP 联合 EST 取石治疗的胆总管结石患者为研究对象,依据护理措施分为两组,对照组(92 例)采用常规护理,观察组(116 例) 采用综合护理,回顾性分析对比两种护理方法的实施效果,主要观察指标包括心理状况评分、依从性评分、满意度评分、生活质量评分、术后并发症发生率。结果 观察组患者 心理状况评分低于对照组(P<0.05),而依从性评分、满意度评分、生活质量评分均高于对照组(均 P<0.05);并且观察组术后并发症发生率(16.38%)低于对照组(28.26%), 差异有统计学意义(P<0.05)。结论 综合护理在 ERCP 联合 EST 取石治疗胆总管结石的应用效果显著,具有帮助患者稳定情绪、减少术后并发症发生率、改善术后生活质量和 提高治疗依从性及满意度等优势,值得临床应用推广。 Objective To explore the effect of comprehensive nursing in the treatment of choledocholithiasis by ERCP combined with EST. Methods 208 patients with choledocholithiasis treated by ERCP combined with EST in the First Affiliated Hospital of Military Medical University from March 2017 to March 2018 were selected as the incidence of complications after operation. Results The psychological status score of the patients in the observation group was lower than that in the control group (P < 0.05), while the compliance score, satisfaction score and quality of life score were higher than those in the control group (P < 0.05), and the incidence of complications in the observation group (16.38%) was lower than that in the control group (28.26%) with statistical significance (P < 0.05). Conclusion The application of comprehensive nursing in ERCP combined with EST in the treatment of worthy of clinical application and promotion.