双腔＂T＂型管在肝胆管结石患者术后行胆道冲洗中的效果观察  

Effect observation of dual-chamber T-shaped tube on postoperative biliary tract flush of hepatic calculus patients

作　　者：任秀华[1] 杨艳英[1] 龙海丽[1] 陈雨霖[1] 何凤霞[1] 

机构地区：[1]四川省绵阳市中心医院肝胆科,621000

出　　处：《国际护理学杂志》2017年第13期1861-1865,共5页international journal of nursing

摘　　要：目的 探讨双腔＂T＂型管在肝胆管结石患者术后行胆道冲洗及注药的效果,探索更为规范、高效、安全的胆道冲洗及注药、胆汁引流方法.方法 2014年5月~2015年7月收治的100例肝胆管结石患者行开腹胆道探查取石、＂T＂管引流手术.按照放置＂T＂管类型不同,随机分为治疗组（放置双腔＂T＂型管）和对照组（传统＂T＂管）,各50例.记录并比较两组患者术后胆道冲洗平均耗时、冲洗液外滴、冲洗胀痛感、冲洗后寒颤高热、胆道造影后寒颤高热、结石残留率、患者满意度评分等指标.结果 治疗组胆道冲洗平均耗时（6.32±2.70）min,对照组（17.67±3.23）min;治疗组冲洗液外滴3例,对照组40例;治疗组冲洗时胀痛感7例,对照组23例;治疗组冲洗后寒颤高热1例,对照组13例;治疗组胆道造影后寒颤高热2例,对照组11例;治疗组患者满意度评分（99.17±1.37）分,对照组（91.21±4.35）分,以上指标比较差异均有统计学意义 （P〈0.05）.治疗组术后结石残留患者23例,对照组31例,差异无统计学意义 （P〉0.05）.结论 双腔＂T＂型管引流手术后,患者胆汁引流畅通、胆道冲洗及注药安全,能降低胆道感染及结石残留,减轻患者痛苦,提高患者满意度,促进患者术后早日康复,值得临床推广应用.Objective To investigate the effect of dual-chamber T-shaped tube on postoperative biliary tract flush and medicine injection of hepatic calculus patients, explore more standard,efficient and secure biliary tract flush,medicine injection and biliary drainage method.Methods Laparotomy biliary tract probing,calculus removal and T-shaped drainage surgery were conducted to 100 hepatic calculus patients received from May,2014 to July, 2015.According to the variety of T-shaped tubes,patients were divided into treatment group （dual-chamber T-shaped tube placed） and control group where there were 50 patients each.The average time of biliary tract flush,flushing fluid drip,flush swelling pain,shivering and ardent fever after flushing,shivering and ardent fever after biliary tract radiography,calculus residual rate and patient satisfaction of two groups were recorded and compared.Results The average biliary tract flush time of treatment group was （6.32±2.70）minutes,and control group was （17.67±3.23）minutes.Flushing fluid drip was conducted to 3 patients of treatment group,and 40 patients in control group.7 patients had swelling pain when flushing in treatment group,and 23 patients in control group.1 patient had shivering and ardent fever in treatment group after flushing, and 13 patients in control group.2 patients had shivering and ardent fever after biliary tract radiography, and 11 patients in control group.The satisfaction score of patients in treatment group was （99.17±1.37）points, and （91.21±4.35）points in control group.The comparative difference of indexes above had statistical significance（P〈0.05）.23 patients had calculus residue in treatment group after operation, and 31 patients in control group, where the difference had statistical significance （P〉0.05）.Conclusions After dual-chamber T-shaped tube drainage operation, the biliary drainage of patients was smooth.Biliary tract flush and medicine injection are secure, which can reduce biliary tract infection and calculus residue,

关 键 词："T"型管 双腔"T"型管 胆道冲洗 满意度 

分 类 号：R657.4[医药卫生—外科学]