留置鼻胆管预防EST术后胰腺炎相关因素和护理对策

Study on relevant factors and nursing measures of indwelling nasal duct for prevention of pancreatitis after endoscopic sphincterotomy

目的探讨留置鼻胆管预防十二指肠乳头括约肌切开术(EST)后胰腺炎相关因素和护理对策。方法采用回顾性研究方法,对在本院消化内科住院的60例EST术后鼻胆管引流患者进行相关因素分析,总结针对性护理措施。结果在60例EST术鼻胆管引流患者中,引流管通畅和有效引流、引流管冲洗方法、及时正确的观察与治疗、患者舒适度改变等是预防EST术后胰腺炎的有效因素。结论通过对EST术后留置鼻胆管相关因素分析,采取针对性护理措施可以控制和减少胰腺炎的发生。

Objective To discuss the relevant factors and nursing measures of indwelling nasal duct for prevention of pancreatitis after endoscopic sphincterotomy （EST）.Methods Retrospective study method was adopted to analyze the relevant factors of 60 post-EST patients with endoscopic nasobiliary drainage in Department of Gastroenterology and summarize purposeful nursing measures. Results Smooth and effective drainage,flushing methods of drainage tube,Timely and correct observation and treatment,and comfortable degree of the patients were relevant effective factors for prevention of post-EST pancreatitis.Conclusion Purposeful nursing measures were adopted to control and reduce the incidence of pancreatitis after analysis of relevant factors of indwelling nasal duct after EST.