腹腔镜胆总管探查取石胆管一期缝合术的护理分析

An Analysis of Nursing During Primary Suture after Laparoscopic Choledocholithotomy

目的：探讨腹腔镜胆总管探查取石胆管-期缝合术的临床护理措施和效果.方法：研究选择某院2012年1月~2014年12月之间收治的100例胆结石患者为观察对象,随机将其分为对照组和实验组,对照组观察对象接受常规临床护理,实验组观察对象接受系统的围术期护理,回顾分析两组患者的临床护理效果.结果：实验组50例观察对象术后住院时间、胆道出血、应激性溃疡出血、术后残石、术后胆瘘、腹腔引流管放置时间、术后3d平均日补液量、手术时间等观察指标均明显优于对照组（P 〈0.05）.结论：研究结果证实,腹腔镜胆总管探查取石胆管-期缝合术患者接受系统的围术期护理,有助于其临床治疗效果的巩固,以及术后恢复速度的提高,因而临床推广和应用价值较高.

Objective:To investigate clinical nursing measures during primary suture after laparoscopic choledocholithotomy and analyze the effect.Methods:A total of 100 patients with gallstones received in some hospital during the period from January 2012 to December 2014 were selected as the research object,random-ly divide them into control group and experimental group,the control group received routine nursing,the ex-perimental group received systematical perioperative nursing ,the clinical nursing effect of the two groups were analyzed retrospectively.Results:In the experimental group,the postoperative length of stays,helobi-lia ,stress ulceration and bleeding,postoperative residual stone,postoperative biliary fistula,detaining time of abdominal drainage tube ,average daily input volume of fluid within the 3 days after operation,operation time and observation indicators of the 50 patients .were significantly better than that in control group (P <0.05).Conclusion:The results of this study showed that systematical perioperative nursing for patients re-ceived laparoscopic choledocholithotomy and primary suture would help to consolidate the clinical treatment effect and shorten the time to recover,thus it is worthy of clinical promotion and application .