ERCP患者术后并发胰腺炎的原因及护理

The Reason of Endoscopic Retrograde Cholangiopancreatography Patient Supervened Pancreatitis

目的：探讨内镜下逆行胆胰管造影术（ERCP）术后并发胰腺炎的原因及有效的护理方法。方法：搜集我院2009年2月至2012年2月收治的经ERCP的116例患者的病例资料，将术后并发胰腺炎的66例作为研究组，术后未并发胰腺炎的50例作为对照组。通过对两组患者病例资料进行分析对比，总结术后并发胰腺炎的原因并总结有效的护理方法。结果：研究组中多次插管36例，胰管损伤42例，胆管压迫48例；对照组中多次插管18例，胰管损伤20例，胆管压迫25例，比较有显著性差异（P〈0．05）。结论：造成ERCP术后并发胰腺炎的主要因素有多次插管、胰管损伤、胆管压迫。ERCP操作技术欠佳是造成患者并发胰腺炎的主要原因，细致的护理是促进ERCP术后并发胰腺炎患者好转的有效方法。

Objective： To explore the reasons and effective nursing intervention of endoscopic retrograde cholangiopancreatography （ERCP） patient supervened pancreatitis. Methods： 116 pa- tients treated by ERCP were selected from February 2009 to February 2012.66 cases of complica- tion of pancreatitis were as experiment group, 50 cases without complication were as control group. Summarized the reason why patients supervening pancreatitis after ERCP and discuss the effective nursing intervention through analyzing and comparing the data of two groups. Results： In experi- ment group, 36 cases were proceeded multiple intubation, 42 cases were pancreatic duct injury, 48 cases were bile duct oppression; In control group, 18 cases were proceeded multiple intubation, 20 cases were pancreatic duct injury, 25 cases were bile duct oppression. The comparison of two groups had statistical significance （P〈0.05）. Conclusion： The reason why patients supervening pan- creatitis after ERCP are multiple intubation, pancreatic duct injury and bile duct oppression. Poor ERCP operation technology is the main reason of complication of pancreatitis. Careful nursing is an effective method of improving codition of patients with pancreatitis after ERCP.