经内镜逆行胰胆管造影术后患者并发胰腺炎的危险因素分析及预防措施  

Analysis of risk factors and preventive measures related to pancreatitis in patients after endoscopic retrograde cholangiopancreatography

作　　者：蒿玉敬[1] 胡春霞 曹桂莉 HAO Yu-jing;HU Chun-xia;CAO Gui-li

机构地区：[1]聊城市人民医院消化内镜室,聊城市252000

出　　处：《护理实践与研究》2020年第16期21-23,共3页Nursing Practice and Research

摘　　要：目的探讨经内镜逆行胰胆管造影(ERCP)术后患者并发胰腺炎的危险因素与预防措施。方法选择2018年6月至2019年6月我院150例ERCP患者为研究对象,调查术后胰腺炎发生情况,采用多因素logistic回归分析调查ERCP术后患者并发胰腺炎的危险因素。结果150例ERCP患者术后并发胰腺炎12例。多因素logistic回归分析显示,插管困难、胰管显影、十二指肠憩室是ERCP术后并发胰腺炎的独立危险因素(P<0.05),鼻胆管引流是ERCP术后并发胰腺炎的保护因素(P<0.05)。结论插管困难、胰管显影、十二指肠憩室会增加ERCP术后患者并发胰腺炎风险,可采取相应护理措施进行预防。Objective To explore the risk factors and preventive measures related to pancreatitis in patients after endoscopic retrograde cholangiopancreatography(ERCP).Methods To select 150 cases of ERCP patients in our hospital from June 2018 to June 2019 as the study objects and investigate the occurrence of postoperative pancreatitis.Multivariate logistic regression analysis was used to investigate the risk factors of pancreatitis in patients after ERCP.Results There were 12 cases of postoperative pancreatitis in 150 cases of patients with ERCP.Multivariate logistic regression analysis showed that the difficulty intubation,pancreatic duct imaging and duodenal diverticulum were the independent risk factors for pancreatitis after ERCP(P<0.05),while nasobiliary duct drainage was a protective factor for pancreatitis after ERCP(P<0.05).Conclusion Difficulty intubation,pancreatic duct imaging and duodenal diverticulum will increase the risk of pancreatitis in patients after ERCP,so corresponding nursing measures can be taken to prevent it.

关 键 词：ERCP术 胰腺炎 危险因素 预防措施 

分 类 号：R473.6[医药卫生—护理学]