外科手术治疗原发性肝胆管结石护理方法及体会

Nursing method and experience of surgical operation in the treatment of primary hepatolithiasis

目的探讨外科手术治疗原发性肝胆管结石的护理方法及体会。方法 160例原发性肝胆管结石患者,随机分为对照组和观察组,每组80例。两组均给予相同的手术治疗,对照组给予常规护理,观察组在常规护理的基础上给予综合护理。比较两组护理效果。结果观察组患者总有效率97.50%高于对照组88.75%,差异具有统计学意义(P<0.05)。观察组住院时间、排气时间均短于对照组,差异均具有统计学意义(P<0.05);观察组并发症发生率3.75%低于对照组12.50%,差异具有统计学意义(P<0.05)。结论综合护理原发性肝胆结石围手术期患者,可有效减少并发症发生,促进患者愈后,值得应用。

Objective To discuss the nursing method and experience of surgical operation in the treatment of primary hepatolithiasis. Methods A total of 160 primary hepatolithiasis patients were randomly divided into control group and observation group, with 80 cases in each group. Both groups received same surgery, and the control group received conventional nursing. The observation group received comprehensive nursing on the basis of conventional nursing. The clinical nursing effect of two groups was compared. Results The observation group had higher total effective rate as 97.50% than 88.75% in the control group, and the difference was statistically significant（P〈0.05）. The observation group had shorter hospitalization time and evacuation time than the control group, and the difference was statistically significant（P〈0.05）. The observation group had lower incidence of complications as 3.75% than 12.50% in the control group, and the difference was statistically significant（P〈0.05）. Conclusion Comprehensive nursing of patients with primary hepatolithiasis in the perioperative period can effectively reduce the incidence of complications and promote the prognosis of patients. It is worthy of application.