传统与改良鼻胆管口鼻转换法的应用比较

Experience of two methods in oronasal conversion of nose biliary duct

目的:研究传统与改良鼻胆管口鼻转换法的应用比较。方法:将2008年3月～2010年3月在我科经内镜逆行胰胆管造影诊疗中实施内镜下鼻胆管引流术的60例患者随机分成研究组和对照组各30例,研究组在鼻胆管口鼻转换中采用导丝套取胃管,对照组采用传统方法。对两组患者的胃管套取成功率、一次抓取成功率、平均所需时间进行比较。结果:研究组患者胃管套取成功率高于对照组,但经比较无统计学意义(P>0.05)。研究组患者的一次抓取成功率高于对照组(P<0.05),平均所需时间短于对照组(P<0.05),并发症发生情况低于对照组(P<0.05)。结论:导丝套取胃管的方法可提高胃管的一次抓取成功率,缩短胃管抓取时间,明显减轻患者的不适。

Objective: To evaluate the effect of nursing of two methods in oronasal conversion of nose biliary duct in nasobiliary drainage.Methods: 60 cases of patients with ENBD in the ERCP in our department from March 2008 to March 2010 were divided into the study group and the control group by random.The patients with sleeving the gastric tube by the guidewire during oronasal conversion of nose biliary duct were considered on the study group,the patients used the traditional method were considered on the control group.The success rate of sleeving gastric tube,the one-time success rate of grasping,the average required time and the occurrence of complications of the two groups were compared.Results: The study group of patients with gastric tube to obtain the success rate is higher than the control group,but were not significant(P > 0.05).Study on a gripping patients success rate was higher than the control group(P < 0.05),the average time was shorter than the control group(P < 0.05),complications were lower than the control group(P < 0.05).Conclusion: a method for capturing the guide wire to obtain gastric tube can improve the success rate of short tube,tube crawling time,alleviate the discomfort of patients.