恶性梗阻性黄疸行内镜下金属胆管支架置入术的护理

Nursing for Endoscopic Metal Biliary Stent Placement of Patients with Malignant Obstructive Jaundice

目的探讨恶性梗阻性黄疸行内镜下金属胆管支架置入术的护理方法。方法将120例行内镜下金属胆管支架置入术的恶性梗阻性黄疸患者随机分为两组(各60例),对照组患者实施常规护理,观察组患者实施综合性护理干预。观察两组患者的临床症状、生活质量改善情况及并发症发生率。结果观察组护理后的各项症状评分均显著低于对照组,各项生活质量评分及总评分均显著高于对照组,术后的高淀粉酶血症、急性胰腺炎、胆管感染、胆管出血、穿孔、疼痛的发生率均显著低于对照组,P<0.05。结论对行内镜下金属胆管支架置入术的恶性梗阻性黄疸患者实施综合性护理干预,能有效减轻患者的临床症状,减少术后并发症的发生,改善患者的生活质量。

Objective To discuss the nursing methods of endoscopic metal biliary stent placement for patients with malignant obstructive jaundice. Methods 120 patients with malignant obstructive jaundice who received endoscopic metal biliary stent placement were randomly divided into two groups equally. The control group received routine nursing, while the observation group received comprehensive nursing intervention. The improvements of clinical symptoms and quality of life, and the incidence of complications were observed and compared between two groups. Results After nursing, the scores of symptoms of observation group were significantly lower than those of control group, and the scores of quality of life were significantly higher than those of control group（all P〈0.05）. The incidences of complications after surgery of observation group were significantly lower than those of control group（P〈0.05）. Conclusions Comprehensive nursing intervention for patients with malignant obstructive jaundice treated with endoscopic metal biliary stent placement can effectively relieve patients＇ clinical symptoms, reduce the incidence of postoperative complications, and improve patients＇ quality of life.