对肝胆手术后发生胆瘘患者的临床护理措施分析

Analysis of clinical nursing measures for patients with biliary fistula after hepatobiliary operation

目的:探讨肝胆手术后胆瘘的临床护理措施及意义。方法:2011年1月-2012年12月收治肝胆手术后发生胆瘘患者24例,依据临床手术前后护理的差异分为观察组(综合干预护理组)和对照组(常规围手术护理组),各12例,比较两组术后情况,回顾性分析胆瘘患者的临床护理实践。结果:综合干预护理的患者在疾病治愈、恢复时间、焦虑指数(SAI)、并发症、患者满意度等方面好于对照组,两组比较差异有统计学意义(P<0.05)。结论:综合干预护理有利于肝胆手术后胆瘘患者的治愈与恢复,利于手术与疾病治疗,减少并发症的发生,具有积极的临床意义。

Objective:To investigate the clinical nursing measures and significance of biliary fistula after hepatobiliary operation.Methods:24 patients with biliary fistula after hepatobiliary operation were selected from January 2011 to December 2012.They were divided into the observation group(comprehensive nursing intervention group) and the control group(conventional peri operation nursing group) according to the difference of clinical nursing before and after operation,with 12 cases in each group.We compared the stuation of two groups after operation,and retrospectivly analyzed the clinical nursing practice of bile fistula.Results:In disease cure,recovery time,anxiety index(SAI),complications and patient satisfaction of the observation group were better than those of the control group,and the differences were statistically significant between two groups(P<0.05).Conclusion:Comprehensive nursing intervention contributes to the cure and recovery for patients with biliary fistula after hepatobiliary operation,and also contributes to the operation and treatment of disease,reduces the incidence of complications,so it has positive clinical significance.