经内镜胆道支架置入术的疗效观察与护理  

The observation and nursing of curative effect after brackets were inserted into biliary tract under endoscopy

作　　者：常风娟[1] 李小环[1] 任秀娟[1] 韩文良 

机构地区：[1]河南省新乡市中心医院内镜科,河南新乡453000

出　　处：《中国民康医学》2008年第22期2689-2690,共2页Medical Journal of Chinese People’s Health

摘　　要：目的：探讨经内镜放置胆道支架治疗良恶性胆道梗阻的疗效与护理体会。方法：120例梗阻性黄疸患者行内镜胆道塑料支架内引流术（ERBD）和金属支架内引流术（EMBE）,进行内镜下治疗的配合和护理。结果：成功实施ERBD 86例,EMBE 34例,引流1-2周平均血清胆红素下降209mmol/L。结论：ERBD和EMBE是治疗梗阻性黄疸的有效方法。充分的术前准备,术中、术后的综合护理和并发症的密切观察,是ERBD和EMBE治疗成功的重要保证。Objective： To approach the understandings of the observation and nursing after inserting endoprosthesis into biliary tract to treat innate and malignant obstruction of biliary tract. Methods： 120 cases of obstructive jaundice were treated with the insertion operation of endoscopic retrograde biliary drainage（ERBD） and endoscopic metal biliary endoprosthesis（EMBE）. Then we carried out matching and nursing by endoscopic treating. Results： Among 120 eases, 86 eases were successfully treated by ERBD, 34 eases by EMBE. After one or twoweeks drainage, the average serum bilirubin descended 209mmol/L. Conclusion： ERBD and EMBE are effective methods to treat obstructive jaundice. Sufficient preoperative preparation, middle operative and post - operative synthetic nursing, and close observation to the complications, are important assurance to treat patients successfully by ERBD and EMBE.

关 键 词：内镜 支架置入术 疗效观察 护理 

分 类 号：R473.6[医药卫生—护理学]