胆石症术后留置“T”形引流管与胆道感染的监测分析及护理措施  

The Monitoring Analysis and Nursing Intervention of Detention T-shaped Drainage Tube and Infection of Biliary Tract after Cholelithiasis Operation

作　　者：冼秀玲 宁广和 黄先富 

机构地区：[1]广西防城港市中医医院外科1病区,广西防城港538021

出　　处：《中外医疗》2014年第26期170-171,174,共3页China & Foreign Medical Treatment

摘　　要：目的探讨胆石症术后留置"T"形引流管与胆道感染的监测和护理效果情况。方法分析该院肝胆外科治的胆石症患者80例临床资料,依据护理措施不同进行分组,普通护理组40例和针对性护理组40例。结果针对性护理组胆石症患者临床治疗总有效率100%,明显高于普通护理组82.5%,χ2=18.46,针对性护理组胆石症患者胆道感染0%、胆漏并发症的发生率0%均低于普通护理组10%、5%,差异有统计学意义(χ2=10.53,3.64,P<0.05)。结论胆石症术后留置"T"形引流管给予针对性护理,可以提高临床治疗效果,降低胆道感染等并发症的发生率,值得临床推广应用。Objective To investigate the monitoring and nursing effect of detention T-shaped drainage tube and infection of biliary tract after cholelithiasis operation. Methods The clinical data of 80 cases with cholelithiasis treated in Department of Hepatobiliary Surgery of our hospital were analyzed, and they were divided into two groups, general duty nursing group of 40 cases and targeted nursing group of 40 cases. Results The total effective rate of clinical treatment of the targeted nursing group was 100%, which was obviously higher than 82.5% of the general duty nursing group, χ^2=18.46, the rate of infection of biliary tract of the targeted nursing group was 0, the incidence of bile leakage complications was 0, lower than the general duty nursing group＇s 10%, 5%, χ^2=10.53, 3.64, respectively, the differences were statistically significant, P〈0.05. Conclusion Targeted nursing for patients with the detention T-shaped drainage tube after cholelithiasis operation, can increase the clinical curative effect, reduce the incidence of infection of biliary tract, and is worthy of clinical promotion and application.

关 键 词：胆石症 “T”形引流管 胆道感染 护理 

分 类 号：R473.6[医药卫生—护理学]