经鼻肠营养管胆汁回输与经空肠胆汁回输的护理重点对比研究  

Comparative study of nursing points between nasogastric-tubing bile reinfusion and jejunal-fistula-tubing bile reinfusion

作　　者：茹晓兰[1] 陈桂婵[1] 钟敏华[1] 黎艳[1] 

机构地区：[1]中山大学孙逸仙纪念医院普通外科,广州510120

出　　处：《中华普通外科学文献（电子版）》2011年第1期62-64,共3页Chinese Archives of General Surgery(Electronic Edition)

摘　　要：目的通过分析两种不同胆汁回输方式的患者的术后情况对比,探讨在不同胆汁回输方式下的护理重点和对策。方法将胆总管结石患者49例按胆汁回输方式分为经鼻肠营养管胆汁回输组(鼻肠管组)19例和经空肠造瘘管胆汁回输组(造瘘管组)30例,观察回输期间两组患者的发热时间、首次肛门排气时间、主诉不适、腹泻和胆汁回输管堵塞情况。结果造瘘管组比鼻肠管组的术后发热时间长,鼻肠管组的不适比例、回输管堵塞比例,均比造瘘管组要高,均P<0.05。两组的首次肛门排气时间与腹泻情况无明显统计学差异。结论对于胆结石患者除进行细致的胆汁回输操作外,应针对不同回输方式所出现的不同情况,进行相应的护理重点调整。Purpose To investigate the different nursing points and strategies by evaluating the postoperative status of patients in two different ways of bile reinfusion. Methods Forty-nine eholedoeholith patients were divided to nasogastrie-tube group （nineteen eases） and jejunal-fistula-tube group （thirty eases）, the fever time, first-flatus time, uncomfortable status, diarrhea and tube obstruetlon status between the two groups were reeorded. Results The jejunal-fistula-tube group had longer fever time compare with the nasogastrie-tube group, the nasogastrie-tube group had higher portion in uneomfortable and tube obstruction, there was no difference in first-flatus time and diarrhea between the two groups; Conclusion Besides performing the careful pro- eedures of bile reinfusion, we should focus on nursing points adjustment according to status in different bile reinfusion ways.

关 键 词：胆汁回输 护理 术后观察 

分 类 号：R473.6[医药卫生—护理学]