经皮胆道支架置入治疗恶性梗阻性黄疸的护理探讨  

Nursing about percutaneous biliary tract stent implantation to cure malignant obstructive jaundice

作　　者：刘秀英[1] 梁小丽[1] 李凯滨[1] 罗剑云[1] 黄肇云[1] 廖瑞珍[1] 张莉珊[1] 

机构地区：[1]广东省肇庆市第一人民医院介入科,526021

出　　处：《中国实用护理杂志（下旬版）》2006年第9期4-6,共3页Chinese Journal of Practical Nursing

基　　金：广东省肇庆市科学技术局项目(编号:2005E372)

摘　　要：目的探讨经皮胆道支架置入治疗恶性梗阻性黄疸的护理方法。方法对21例恶性梗阻性黄疸患者在X线电视透视下行经皮胆道支架置入，做好术前各项护理、介入器材准备；术中做好介入配合，病情观察；术后进行细致护理并做好出院指导。结果21例恶性黄疸患者除1例导丝不能通过狭窄段支架致置入失败外，其余均获成功，成功率95％。术后1～2周复查谷丙转氨酶由术前的（162．62±47．29）U／L下降至（96．60±89．36）U／L，血清总胆红素由术前的（320．75±140．51）μmol／L降至（137．96±103．95）μmol／L直接胆红素由术前的（197．46±95．81）μmol／L降至（85．67±62．95）μmol／L；间接胆红素由术前的（119．83±50．36）μmol／L下降至（56．76±37．37）μmol／L。上述指标比较差异均有显著性，P〈0．01。结论经皮胆道支架置入是治疗恶性梗阻性黄疸的有效方法。充分做好各个护理环节，可减少并发症的发生，提高支架置入的成功率和治疗效果。Objective To study the nursing method about percutaneous biliary tract stent implantation to cure malignant obstructive jaundice. Methods Careful perioperative nursing cares and finished post- hospital direction were applied among 21 patients with malignant obstructive jaundice when by percutaneous biliary tract stent implantation. Results There were 20 patients obtained successful operation, the successful rate was 95%. The postoperative of glutamic pyruvic transaminase were （96.60± 89.36） U/L, the total bilirubin was （137.96 ± 103.95） μmol/L, the directed bilirubin was （85.67 ± 62.95） μmol/L and the indirected bilirubin was （56.76 ± 37.37） μmol/L. All the indexes which have mentioned above were significant lower than those of before operative, P 〈 0.01. Conclusion Percutaneous biliary tract stent implantation can effective cure the malignant obstructive jaundice, and then improve the patients＇quality of life.

关 键 词：胆道肿瘤 胆道支架 护理 

分 类 号：R735.8[医药卫生—肿瘤] R473.73[医药卫生—临床医学]