十二指肠镜治疗胆总管结石的优质护理分析

Analysis of the effect of duodenal endoscopy in the treatment of common bile duct stones

目的：分析十二指肠镜治疗胆总管结石的优质护理效果。方法将70例胆总管结石患者采用随机数字表法分为观察组35例和对照组35例。所有患者均行十二指肠镜胆总管取石术治疗，围术期临床护理中对照组患者行常规护理，观察组患者行优质护理。对两组患者的手术效果予以评价，观察并统计患者术后相关并发症的发生率，并调查两组患者的护理满意度。结果平均手术时间、术后肛门排气时间、下床活动时间及总住院时间观察组均短于对照组（t＝6．535、7．884、10．228、12．192，P＜0．05），且平均术中出血量少于对照组（t＝5．984，P＜0．05）。观察组术后胆道感染、出血、胆瘘、胆管狭窄并发症的总发生率为8．58％，高于对照组的22．85％（χ2＝7．464，P＜0．05）。观察组患者对护理全面性、护理人性化及护理质量三个项目的满意度依次为94．29％、91．43％、94．29％，对照组依次为80％、77．14％、77．14％，两组比较，差异均有统计学意义（χ2＝7．435、8．245、7．446，P＜0．05）。结论于十二指肠镜治疗胆总管结石围术期予以患者优质护理对提高手术效果，预防术后相关并发症的发生及提高患者护理满意度具有重要的作用。

Objective To analyze the effect of duodenal endoscopy in the treatment of common bile duct stones.Methods 70 patients with common bile duct stones in our hospital were randomly divided into the observation group （35 cases） and the control group （35 cases） by the random number table method.All the patients were treated with the treatment of duodenal endoscopy, and the perioperative clinical nursing, the control group was nursed by conventional nursing,the observation group was nursed by quality care.The surgical effect of the two groups was evaluated,the incidence of postoperative complications was analyzed,and the nursing satisfaction of the two groups was investigated.Results The average operation time, postoperative anal exhaust time, out of bed activity time and hospitalization time of the observation group were shorter than the control group （t=6.535,7.884,10.228,12.192, all P〈0.05）,and average intraoperative bleeding volume was less than that of the control group （t=5.984,P〈0.05）.The total incidence rate of biliary tract infection,bleeding,bile leakage,bile leakage,bile duct stricture and complication was 8.58%in the observation group,which was lower than 22.85%in the control group （χ2 =7.464, P〈0.05）.In the observation group,the patients′satisfaction to the comprehensive nursing,humanized nursing and nursing quality were 94.29%,91.43% and 94.29%, which in the control group were 80.00%,77.14% and 77.14%,the differences between the two group were statistically significant （χ2 =7.435,8.245,7.446, all P〈0.05）.Conclusion High quality nursing care to patients with common bile duct stones who received endoscopic therapy perioperatively is helpful to improve the effect of operation,prevent postoperative complications and improve the patients＆#39;satisfaction.