规范化护理培训在降低经内镜逆行胰胆管造影术后胰腺炎发生率的研究

The effect analysis of standardized nursing trainingin reducing the incidence rate of post-endoscopic retrograde cholangiopanography pancreatitis

目的探讨规范化护理培训在降低经内镜逆行胰胆管造影术（Erme）术后胰腺炎发生中的有效性和可行性。方法收集2015年1月至2016年6月行ERCP治疗的患者521例作为对照组，护士并未实施规范化护理培训。选取2016年7月至2017年4月行ERCP治疗的患者289例作为干预组，此期间科室实施了规范化护理培训。统计比较2N术后高淀粉酶血症及ERCP术后胰腺炎发生率。结果对照组高淀粉酶血症发生率为12．09％（63／521），ERCP术后胰腺炎发生率为7．87％（41／521），干预组高淀粉酶血症发生率为7．61％（22／289），ERCP术后胰腺炎发生率为3．11％（9／289），2组比较差异有统计学意义（r=3．972、7．258，P〈0．05或0．01）。结论规范的护理培训及术中配合可减少其高危因素的发生，对降低此类ERCP术后胰腺炎及高淀粉酶血症有着重要的意义和作用。

Objective To investigate the effectiveness and feasibility of standardized nursing training in reducing the incidence rate of post-endoscopic retrograde cholangiopanography（ERCP） pancreatitis. Methods A total of 521 patients were collected from January 2015 to June 2016 in ERCP therapy as control group. The patients in this group did not have standardized nursing training. A total of 289 patients were selected from July 2016 to April 2017 in ERCP therapy as intervention group. The patients in this group were carried out the standardized nursing training. The incidence of hyperamylasemia and post-ERCP pancreatitis was observed in two groups. Results The incidence of hyperamylasemia and post-ERCP pancreatitis was 12.09% （63/521）, 7.87% （41/521） in control group, and 7.61% （22/289）, 3.11% （9/289） in intervention group, the difference was statistically significant between two groups （x2=3.972,7.258, P 〈 0.05 or 0.01）. Conclusions The standard nursing training and intraoperative coordination can reduce its risk factors, and to reduce the post-ERCP pancreatitis and hyperamylasemia has important meaning and function.