胃镜碎石治疗胃石症的临床观察及护理干预

Clinical observation and nursing intervention on treating gastrolithiasis by endoscopic lithotripsy

目的:分析探讨胃镜碎石治疗胃石症的临床观察及护理干预。方法:选取2011年11月-2013年8月在我院接受胃镜下治疗消化道异物患者42例,根据患者的病情、性别、年龄等将其随机分为对照组和试验组两组,每组21例。对两组患者均给予中医药物治疗。对照组患者采用常规护理方式,试验组采用胃镜碎石治疗护理干预措施,治疗结束后观察两组患者的治疗效果以及患者对医护人员的满意度,总结治疗效果并进行分析。结果:本组42例患者经过胃镜碎石治疗后均成功取出胃石,治疗有效率为100%。其中一次性粉碎成功患者有35例,有7例患者经过二次粉碎。两组患者的腹痛、腹胀以及胃酸等症状均消失,患者也无消化道出血、胃穿孔以及肠梗阻等并发症发生。对照组患者对医护人员的护理满意度为71.43%(15/21),试验组患者对医护人员的护理满意度为95.24%(20/21),试验组患者护理满意度明显高于对照组患者,两组间比较具有统计学意义(P<0.05)。讨论:胃镜碎石治疗胃石症患者有明显疗效,而且操作方便、经济安全,患者治疗后再配合护理干预措施,能够有效减轻患者的疼痛,提高治疗效果。

Objective： To analyze and investigate clinical observation and nursing intervention oI enooscoplc mnotrlpsy on gastrolithiasis. Methods： 42 patients in our hospital were randomly divided into the control group （21 cases） and the experimental group （21 cases） from Nov. 2011 to Aug. 2013. All patients received TCM medicine. The control group was given conventional nursing; another was given endoscopic lithotripsy plus nursing intervention. Clinical effects and satisfaction of patients in two groups were observed; clinical efficacy was summarized and analyzed. Results： 42 cases were successfully removed stone by endoscopic lithotripsy, the total efficacy was 100%; 35 cases were successful at the first time, 7 cases were successful at the second time. Abdominal pain, abdominal distension and gastric acid in both disappeared. Hemorrhage of digestive tract, gastric perforation and intestinal obstruction were not appearing in patients. Nursing satisfaction in control group was 71.43% （15/21）, in another was 95.24% （20/21）; the experimental group was higher, the difference was statistically significant （P〈0.05）. Conclusion： Endoscopic lithotripsy was confirmed with good efficacy on gastrolithiasis, and was easy, safe and cheap. Endoscopic lithotripsy plus nursing intervention could effectively release pain and improve efficacy.