胆管癌经皮肝穿刺胆管引流术后并发症的护理干预  

Nursing Intervention in Postoperative Complications of Bile Duct Cancer by Percutaneous Transhepatic Cholangial Drainage

作　　者：孙静[1] 

机构地区：[1]商丘市第一人民医院肿瘤一科,河南商丘476000

出　　处：《中国医药指南》2011年第29期10-11,共2页Guide of China Medicine

摘　　要：目的探讨胆管癌经皮肝穿刺胆管引流术(PTCD)后并发症的护理干预临床疗效。方法选取商丘市第一人民医院自2005年以来胆管癌经皮肝穿刺胆管引流术患者89例,随机分为两组,一组对患者术后并发症不进行护理干预作为对照组44例,另一组对患者术后并发症进行护理干预作为观察组45例,分别比较两组的各项指标。结果在所有患者术后并发症临床表现方面,观察组明显好于对照组,两组患者在恶心、呕吐(18/44,6/45)、感染(13/44,4/45)、腹腔内出血(7/44,1/45)、胆漏(8/44,1/45)和休克(7/44,1/45)等方面差异显著(P<0.05),具有统计学意义。结论对胆管癌经皮肝穿刺胆管引流术患者行有效的并发症护理干预可以取得很好的临床疗效,值得临床广泛推广。Objectives Discuss on nursing intervention on clinical outcomes in postoperative complications of bile duct cancer by percutaneous transhepatic cholangial drainage.Methods We selected 89 patients in this school since 2005 of bile duct cancer percutaneous transhepatic cholangial drainage who were randomly divided into two groups,one group of which with postoperative complications not nursing intervention as the control group of 44 cases,another group of which with complications after nursing intervention as the observation group of 45 cases.We compared each index between the two groups.Results In all patients with postoperative complications clinical manifestations,the observation group was better than the control group.Two groups of patients in nausea and vomiting（18/44,6/45）,infection（13/44,4/45）,abdominal bleeding（7/44,1/45）,bile leakage（8/44,1/45） and shock（7/44,1/45） were obvious differences（P0.05）,with statistical significance.Conclusions That bile duct cancer by percutaneous transhepatic cholangial drainage in patients with effective complications nursing intervention could be achieved very good clinical curative effect,worthy of clinical application.

关 键 词：胆管癌 经皮肝穿刺胆管引流术 并发症 护理干预 

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