老年胆管结石术后并发症的预防与护理

Prevention and nursing of elderly bile duct postoperative complications

目的:探讨老年胆管结石术后并发症的预防和护理干预的效果。方法:选择2009年1月～2012年5月我院外科收治老年胆管结石患者50例,针对患者的特点实施心理干预、术前干预和术后干预等护理干预措施。结果:50例患者均顺利完成手术,术后发生并发症2例。50例患者中49例患者痊愈出院,结石残留1例于术后6周经T管窦道纤维胆道镜取石后治愈。结论:老年胆管结石患者围手术期实施针对性的护理干预能有效预防和减低术后并发症的发生。

Objective ：To investigate the prevention and nursing intervention of calculus of elderly bile duct eemplications. Methods： Selected 50 cases of eld- erly patients with bile duct stones from January 2009 to May 2012 in our hospital, according to the patient characteristics, implemented the psychological in- tervention, preoperative intervention and postoperative intervention and a series of nursing intervention measures. Results： 50 patients were successfully com- pleted the operation, postoperative complications occurred in 2 cases; 50 cases of 49 patients were cured, 1 case of postoperative residual stones in 6 weeks through T tube sinus fiber choledochoscope after cure. Conclusion ：The dderly patients with bile duet stones surround operation period implement targeted nursing intervention can effectively prevent and reduce postoperative complications.