78例内镜下逆行胰胆管造影术后鼻胆管引流患者的综合护理

Comprehensive nursing for 78 nasobiliary drainage patients after endoscopic retrograde cholangiopan-creatography

目的观察内镜下逆行胰胆管造影术（ERCP）后患者鼻胆管引流并发症发生情况并提出临床综合护理策略。方法选取2016年12月-2017年12月解放军三。六医院消化内科收治的患者78例，患者均行内镜鼻胆管引流术。针对患者采用综合护理策略，包括一般护理、鼻胆管护理、口腔护理、心理护理、饮食护理、血和尿淀粉酶观察、鼻胆管引流并发症的护理等，并记录和分析患者鼻胆管引流术并发症发生率。结果患者均顺利拔管。共计27例患者出现鼻胆管引流并发症，发生率为34．61％。结论针对术后鼻胆管并发症的临床护理不可或缺，可减少鼻胆管引流并发症的发生，有助于改善患者体验，降低重新置管风险。

Objective To observe the complications of nasobiliary drainage patients after endoscopic retrograde eholangiopancreatography （ERCP） and to put forward clinical comprehensive nursing strategies. Methods From December 2016 to December 2017, 78 patients with endoscopic nasobiliary drainage of Department of Gastroenterology in the 306th Hospital of PLA were selected. The comprehensive nursing was carried out including general nursing, nasobiliary nursing, mouth care, mental nursing, diet nursing, observation of amylase in serum and urine, nursing for nasobiliary drainage related complications. The incidence of patients＇ complication related to nasobiliary drainage was recorded and analyzed. Results Catheters of all patients were draw out smoothly. There were 27 patients with nasobiliary drainage related complications along with the incidence of 34.61%. Conclusions The clinical nursing for nasobiliary drainage related complications is indispensible. The nursing care can reduce the incidence of nasobiliary drainage related complications, contributes to improving patients＇ experience and reducing the risk of catheter implanting again.