纤维胆道镜在胆道手术的护理研究  

Study on nursing of fiber choledochoscopy in biliary tract operation

作　　者：江霞 余霞 张宝华 郎拥军 杨佳[2] 

机构地区：[1]重庆市丰都县人民医院,408200 [2]重庆市第三人民医院肾内科,400014

出　　处：《检验医学与临床》2015年第17期2526-2527,共2页Laboratory Medicine and Clinic

基　　金：重庆市丰都县科委资助项目(丰成字:2010Y015)

摘　　要：目的观察临床护理在纤维镜胆道手术中的应用效果,探讨疾病治疗的最佳方法和手段。方法以该院在2010年12月至2011年12月收治的100例纤维胆道镜取石术的患者作为研究对象,并随机分为试验组和对照组,每组各50例。其中对照组接受常规的临床护理措施,而试验组患者则接受全程的临床护理措施进行治疗,对比观察两组患者临床治疗的效果。进一步对两组患者治疗进行比较。结果两组患者在接受不同护理措施进行治疗后,其中试验组患者术后平均残石率为2%,其治疗有效率为96%,术后并发症发生率为4%,而对照组患者中上述3项指标值分别为6%、88%和10%。试验组治疗效果好于对照组,χ2检验统计学结果表明,两者间差异具有统计学意义(P<0.05)。对所有患者治疗后进行2年随访,其结果可以发现,试验组患者复发率为6%,患者满意度为94%,而对照组患者中疾病复发率为14%,患者满意度为86%,试验组的远期治疗效果优于对照组。χ2检验统计学结果表明,两者间差异具有统计学意义(P<0.05)。结论在纤维镜胆道术中,给予患者全程的临床护理能显著提高其治疗效果,有利于胆道镜取石术的成功。因此,该方法值得在临床上进一步推广和使用。Objective To observe the effect of application of clinical nursing in fiber choledochoscopy in biliary tract operation for investigating its optimal treatment method .Methods 100 cases of choledochofiberscope lithotomy in our hospital from December 2010 to December 2011 year were taken as the research subjects and randomly divided into the experimental group and the control group ,50 cases in each group .The control group received the routine clinical nursing measures ,while the experimental group received the whole course clinical nursing measures for con‐ducting treatment .The clinical curative effects were observed and compared between the two groups .Then the treat‐ments in the patients of the two groups were compared .Results After different nursing measures and treatment ,the average residual stone rate in the experimental group was 2% ,the treatment effective rate was 96% and the occur‐rence rate of postoperative complication was 4% ,while which in the control group were 6% ,88% and 10% respec‐tively ,the treatment effect of the experimental group was better than that of the control group ,the difference was sta‐tistically significant （P〈 0 .05） .The postoperative 2‐year follow‐up was performed in all the patients ,the results found that the recurrence rate in the experimental group was 6% ,the satisfaction of patients was 94% ,while which in the control group were 14% and 86% respectively ,the long term curative effect in the experimental group was better than that in the control group ,the differences were statistically significant （P〈0 .05） .Conclusion In the fiber chole‐dochoscopic operation ,implementing the whole course clinical nursing can significantly improve the therapeutic effect ,conduces to choledochofiberscopy lithotomy success .Therefore ,this method is worth further spreading and u‐sing in clinic .

关 键 词：纤维胆道镜 胆道手术 临床护理 

分 类 号：R657.42[医药卫生—外科学]