负压吸引辅助清石鞘管改良经皮经肝胆道镜碎石取石术的护理研究  

Study of modified percutaneous transhepatobiliary lithotripsy with negative pressure aspiration assisted by cleaning stone sheath tube

作　　者：吴青霞[1] 陈娟英[2] 张秀梅[3] 黄爱玲 施诗 WU Qingxia;CHEN Juanying;ZHANG Xiumei;HUANG Ailing;SHI Shi(Department of Thyroid and Breast Surgery,The First People's Hospital of Qinzhou City,Qinzhou City,Guangxi Zhuang Autonomous Region,535000,China;Department of Hepatobiliary and Pancreatic Surgery,The First People's Hospital of Qinzhou City,Qinzhou City,Guangxi Zhuang Autonomous Region,535000,China;Department of Nursing,The First People's Hospital of Qinzhou City,Qinzhou City,Guangxi Zhuang Autonomous Region,535000,China)

机构地区：[1]广西钦州市第一人民医院甲状腺乳腺外科,广西钦州535000 [2]广西钦州市第一人民医院肝胆胰外科,广西钦州535000 [3]广西钦州市第一人民医院护理部,广西钦州535000

出　　处：《蛇志》2023年第4期524-527,共4页Journal of Snake

摘　　要：目的探讨负压吸引辅助清石鞘管改良经皮经肝胆道镜碎石取石术的护理效果。方法选取2020年7月至2021年12月钦州市第一人民医院肝胆外科收治的肝胆管结石患者60例,随机分为对照组(n=30)和观察组(n=30)。两组患者均行负压吸引辅助清石鞘管改良经皮经肝胆道镜碎石取石术,对照组围手术期实施常规护理干预,观察组围手术期在对照组基础上实施预见性护理。比较两组干预后的肛门排气时间、首次下床活动时间、住院时间、汉密尔顿抑郁量表(HAMD)评分、汉密尔顿焦虑量表(HAMA)评分以及术后并发症发生率、简明健康状况量表(SF-36)评分。结果干预后,两组患者的肛门排气时间比较,差异无统计学意义(P>0.05);观察组术后首次下床活动时间、住院时间均短于对照组,差异均有统计学意义(均P<0.05)。干预后,观察组的HAMD评分、HAMA评分均低于对照组,差异均有统计学意义(均P<0.05)。干预后,观察组的躯体疼痛、精神健康、生理职能、健康变化评分均高于对照组,差异均有统计学意义(均P<0.05)。两组患者的并发症发生率比较,观察组为10.00%,明显低于对照组的33.33%,差异有统计学意义(P<0.05)。结论负压吸引辅助清石鞘管改良经皮经肝胆道镜碎石取石术围术期实施预见性护理干预,可改善患者负性情绪,降低并发症,促进患者康复,提高患者生活质量,值得借鉴。Objective To investigate the nursing effect of modified percutaneous transhepatobiliary lithotripsy with negative pressure suction assisted by cleaning stone sheath tube.Methods 60 patients with hepatolithiasis admitted to the Department of Hepatobiliary Surgery of the First People's Hospital of Qinzhou City from July 2020 to December 2021 were selected and randomly divided into control group(n=30)and observation group(n=30).Patients in both groups were treated with negative pressure suction assisted by modified percutaneous transhepatobiliary lithotripsy.The control group was treated with routine nursing intervention during perioperative period,and the observation group was treated with predictive nursing on the basis of the control group.The anal exhaust time,first time of getting out of bed,length of hospital stays,Hamilton Depression Scale(HAMD)score,Hamilton Anxiety Scale(HAMA)score,incidence of postoperative complications,and concise health status scale(SF-36)score were compared between two groups after intervention.Results After intervention,there was no significant difference in anal exhaust time between two groups(P>0.05).The first time of getting out of bed and the length of hospital stay in the observation group were shorter than those in the control group,with statistical significance(all P<0.05).After intervention,the HAMD scores and HAMA scores of the observation group were lower than those of the control group,with statistical significance(both P<0.05).After intervention,the complication rate of observation group was 10.00%,lower than that of control group(33.33%),and the difference was statistically significant(P<0.05).After intervention,the scores of body pain,mental health,physiological function and health change in observation group were higher than those in control group,with statistical significance(all P<0.05).Conclusion Predictive nursing intervention in perioperative period of percutaneous transhepatobiliary lithotripsy with negative pressure suction assisted by cleaning stone sheath tube

关 键 词：肝胆管结石 预见性护理 负压吸引 经皮经肝胆道镜碎石取石术 

分 类 号：R657.42[医药卫生—外科学] R473[医药卫生—临床医学]