反“α”法用于内镜下鼻胆管引流术后鼻胆管的固定效果  

Effect of reverse-α fixation of nasobiliary tube after endoscopic nasobiliary drainage

作　　者：周姝[1] 吴茜[1] 丁颖[1] 厉文宇[1] 贺齐卉 陈蓓敏[1] 

机构地区：[1]同济大学附属第十人民医院消化内科,上海200072

出　　处：《中华现代护理杂志》2015年第5期602-604,共3页Chinese Journal of Modern Nursing

摘　　要：目的：探讨反“α”法应用于内镜下鼻胆管引流术（ ENBD）后鼻胆管固定的效果。方法选择行ENBD术患者1127例,按随机数字表法分为试验组577例和对照组550例,分别采用反“α”法和传统方法进行鼻胆管固定,比较两组患者在留置鼻胆管期间并发症发生情况、患者舒适度及鼻胆管固定护理时间的差异。结果试验组患者发生鼻腔黏膜压疮14例,鼻胆管移位7例,对照组患者分别为31,28例,两组比较差异有统计学意义（χ^2值分别为7.569,14.071；P〈0.01）；试验组患者鼻腔部舒适度评分为（3.96±0.84）分,平均护理时间为（72.2±9.7）s,均优于对照组,差异具有统计学意义（t值分别为8.221,10.063；P〈0.05）。结论鼻胆管固定采用反“α”法可改善ENBD术后患者留置鼻胆管期间的舒适度,减少相关并发症,提高护理效率。Objective To investigate a new method for fixation of nasobiliary tube after endoscopic nasobiliary draniage （ ENBD） . Methods A total of 1 127 patients underwent ENBD were randomly divided into control （ traditional method） and experimental group （ reverse-α method） . The differences in the incidence of complications, patient self-comfort and the length of taking care of nasobiliary tube were evaluated between two groups during the period of indwelling nasobiliary tube. Results The incidence of nasal mucosa of pressure sore and dystopy of nasobiliary tube in the experimental group were 14 cases and 7 cases comparing with 31 cases and 28 cases in the control group （χ^2 =7. 569,14. 071,respectively;P〈0. 01）. Compared with the control group, the scores of nasal comfort and average length of taking care were （3. 96 ± 0. 84） and （72. 2 ± 9. 7） s higher than those of the control group （t =8. 221, 10. 063,respectively;P 〈0. 05）. Conclusions Patient comfort during indwelling nasobiliary tube after ENBD can be effectively improved by using ‘reverse-α method’ to fix the tube. It can also reduce the complications and improve the care efficiency.

关 键 词：护理 鼻胆管引流 固定 

分 类 号：R473.76[医药卫生—护理学]