“一病一品”护理在ERCP胆道取石术治疗胆总管结石患者中的应用  

Application of “One Disease and One Product” Nursing in Patients with Common Bile Duct Stones Treated with ERCP

作　　者：姜素峰[1] 周莹[1] 葛薇[1] 薛霁晖[1] 吴红梅[1] 韩静[1] 张军玲[1] 迮露[1] JIANG Sufeng;ZHOU Ying;GE Wei;XUE Jihui;WU Hongmei;HAN Jing;ZHANG Junling;ZE Lu(Digestive Endoscopy Center, Jiangsu Province Hospital of Chinese Medicine, Nanjing 210029, China)

机构地区：[1]江苏省中医院消化内镜中心

出　　处：《长春中医药大学学报》2019年第5期975-977,共3页Journal of Changchun University of Chinese Medicine

基　　金：江苏省中医药局科技项目(YB2015013)

摘　　要：目的探究"一病一品"护理在ERCP胆道取石术治疗胆总管结石患者中的应用。方法选择2014年1月-2018年1月在我科内镜下逆行胰胆管造影(ERCP)胆道取石术的胆总管结石患者81例为研究对象,按入院顺序经随机数字表法将其分为对照组和研究组,对照组38例给予常规护理,研究组43例给予"一病一品"项目进行护理,对比2组的临床疗效。结果研究组的住院时间、疼痛评分(v AS)均短于(低于)对照组,生活质量评分、满意度评分均高于对照组(P<0.05);研究组的并发症发生率7.0%,明显低于对照组23.7%(P<0.05)。结论胆总管结石患者经ERCP胆道取石术治疗后,采用"一病一品"护理措施可有效提高患者的生活质量、降低疼痛程度、缩短住院时间,且患者的不良反应发生率低、满意度较高。Objective To explore the application of "one disease and one product" nursing in the treatment of common bile duct stones with ERCP. Methods A total of 81 patients with choledocholithiasis who underwent endoscopic cholangiolithography(ERCP) in our department from January 2014 to January 2018 were selected as the study subjects. According to the order of admission, they were randomly divided into control group and study group. 38 patients in the control group were given routine care, and 43 patients in the study group were treated with a "one disease and one product" item. The clinical efficacy was compared between the two groups. Results The hospitalization time and pain scores(vAS) of the study group were all shorter(lower) than those of the control group. The quality of life and satisfaction scores were higher in the study group than in the control group(P < 0.05). The incidence of complications in the study group was 7.0% was significantly lower than the control group 23.7%(P < 0.05). Conclusion After ERCP biliary stone lithotripsy in patients with common bile duct stones, the use of "one disease and one product" nursing measures can effectively improve the patient’s quality of life, reduce the pain, shorten the length of stay, and the patient’s adverse reaction rate is low, the satisfaction is high.

关 键 词："一病一品"护理 ERCP 胆道取石术 胆总管结石 

分 类 号：R657.4[医药卫生—外科学]