综合护理模式对肝胆管结石肝切除术后双套管冲洗引流的影响  

Influence of comprehensive nursing on double-catheter washing drainage after hepatic calculus hepatectomy

作　　者：付高洁[1] 姜波[1] 张红梅[1] 陶英歌[1] 

机构地区：[1]牡丹江医学院第二附属医院消化内科,黑龙江牡丹江157000

出　　处：《中国现代医生》2016年第20期148-150,共3页China Modern Doctor

摘　　要：目的探讨综合护理模式对肝胆管结石肝切除术后双套管冲洗引流的影响。方法选择我院收治的肝胆管结石的患者有96例,分别采用综合护理(观察组)和常规护理(对照组),比较两组患者的临床各项指标、治疗效果以及不良反应情况。结果观察组的手术时间、术中输液量、术中出血量、住院时间等临床指标显著优于对照组(t=7.563、7.257、7.896、8.763,P<0.05);观察组患者治疗有效率为100.00%,对照组患者治疗有效率为81.25%,两组差异有统计学意义(χ2=9.931,P=0.003);对照组患者术后不良反应率为12.50%,观察组患者术后不良反应率为2.08%,两组差异有统计学意义(χ2=7.680,P=0.010)。结论临床上应用综合护理模式对肝胆管结石肝切除术后双套管冲洗引流护理效果显著,可有效减少患者痛苦,缩短康复时间,降低手术创伤以及术后不良反应的发生情况。Objective To discuss the influence of comprehensive nursing on double-catheter washing drainage after hepatic calculus hepatectomy. Methods 96 patients with hepatic calculus treated in our hospital were selected and were given either comprehensive nursing （observation group） or routine nursing （control group）. The clinical parameters, treatment effects, and side effects were compared between two groups. Results Clinical parameters including operation tine, infusion volume during operation, blood loss during operation, and hospital stay were all better in the observation group than in the control group （t=7.563, 7.257, 7.896, 8.763, P〈0.05）. The response rate in the observation group was 100.00%, while in the control group was 81.25%, with significant difference （X2=9.931, P=0.003）. The incidence rate of adverse reactions was 12.50% in the control group and was 2.08% in the observation group, with significant difference （X2=7.680, P=0.010）. Conclusion Comprehensive nursing has significant effect on double-catheter washing drainage after hepatic calculus hepatectomy, which can effectively reduce the pain of patients, shorten the recovery time, and reduce operative wound and incidence of postoperative adverse reactions.

关 键 词：综合护理 双套管冲洗 肝切除术 肝胆管结石 

分 类 号：R473.6[医药卫生—护理学]