推按运经仪辅助治疗梗阻性胆管炎的效果观察

The Effect of Nursing Massage Apparatus on Patients with Acute Obstructive Cholangitis

目的探讨内镜治疗后运用推按运经仪治疗梗阻性胆管炎的效果。方法将48例梗阻性胆管炎患者随机分成对照组和观察组,各24例。对照组患者在进行内镜治疗后行常规护理,观察组患者在内镜治疗后配合推按运经仪治疗。比较2组患者治疗前及治疗后5d临床表现(黄疸、腹痛、腹胀等)、WBC数、胆汁引流量、血清ALT、AST、GGT及血清胆红素。结果治疗后,观察组临床症状改善优于对照组,WBC数、血清ALT、AST、GGT及血清胆红素等降低程度较对照组大,24h胆汁引流量多于对照组(p均<0.05)。结论内镜治疗后配合推按运经仪治疗梗阻性胆管炎疗效肯定,值得临床推广应用。

Objective： To figure out the effect of nursing massage apparatus on patients with acute obstructive cholangitis. Methods： 48 patients with actue obstructive cholangitis were randomly divided into two groups. Control group with 24 patients got the regular nursing measures after duodenoscope treatment,while the intervention group with 24 patients was treated by nursing massage apparatus ex cept for the treatment and nursing of the control group patients. The clinical symptoms（including jaundice,stomachache,abdominal distention）,WBC counting,the amount of bile drainage,ALT,AST,GGT,and serumbilirubin were compared with the two groups. Results： The clinical symptoms of intervention group improved more than than that of the control group （all ps〈0.01）. The WBC counting,the amount of bile drainage,ALT,AST,GGT,and serumbilirubin of the intervention group was better than that of the control group （all ps〈 0.05）. Conclusion： The effect of nursing massage apparatus on patients with acute obstructive cholangitis was positive and it should be widely popularized.