護理干預對內鏡下逆行膽胰管造影術患者術后并發癥的影響

[摘要] 目的 探討護理干預對內鏡下逆行膽胰管造影術患者術后并發癥的影響情況，分析實施護理干預的總體價值。方法 隨機選擇該院2015年1月—2016年1月期間收治的60例內鏡下逆行膽胰管造影術患者作為此次實驗研究的對象，按照護理方法的不同分為采取綜合護理干預的實驗組以及采取常規護理干預的參照組，各組分別為30例，對比兩組患者的術后并發癥情況。結果 實驗組發生并發癥10例（包括1例急性胰腺炎、2例急性膽囊炎、4例不適感、3例腹脹），占33%；參照組發生并發癥21例（包括2例急性胰腺炎、2例急性膽囊炎、13例不適感、4例腹脹），占70%。經統計學分析，兩組差異具有統計學意義，χ2=8.0756，P=0.0044。 結論 內鏡下逆行膽胰管造影術患者術后易發生并發癥問題，所以術后對進行綜合護理干預，能夠有效地緩解患者的不良情況，降低并發癥的發生幾率。

[關鍵詞] 綜合護理；常規護理；并發癥情況；內鏡；逆行膽胰管造影術

[中圖分類號] R5 [文獻標識碼] A [文章編號] 1674-0742（2016）10（b）-0156-03

[Abstract] Objective To summarize the effect of nursing intervention on postoperative complications of patients undergoing endoscopic retrograde biliary duct radiography and analyze the value of nursing intervention. Methods Random selection our hospital in 2015 January to January 2016 admitted during the period of treatment of 60 cases of endoscopic retrograde biliary and pancreatic duct angiography patients as the object of this experimental study， according to different nursing methods for take comprehensive nursing intervention in the experimental group and treated with routine nursing intervention of the reference group， each group were 30 cases， compared two groups of patients with postoperative complications. Results The experimental group occurred complications occurred in 10 cases （including 1 case of acute pancreatitis， 2 cases of acute cholecystitis， 4 cases of discomfort， 3 cases of abdominal distension， accounted for 33%； reference group， the incidence of complications occurred in 21 cases （including 2 cases of acute pancreatitis， 2 cases of acute cholecystitis， 13 cases of discomfort， 4 cases of abdominal distension， accounted for 70%. After statistical analysis， the difference between the two groups was statistically significant， χ2=8.0756， P=0.0044. Conclusion The problem of postoperative complications of endoscopic retrograde biliary pancreatic duct radiography is easy to occur. Therefore， the comprehensive nursing intervention can effectively alleviate the adverse situation of patients and reduce the incidence of complications.

[Key words] Comprehensive nursing ；Routine nursing； Complications； Endoscopic； Retrograde biliary pancreatic duct radiography

相關數據報道結果顯示，我國膽道疾病患者的臨床發病率呈逐年遞增的發展趨勢，對于膽道疾病而言，內鏡下逆行膽胰管造影術——ERCP是其中最為行之有效的檢查方法，會在結合患者膽道疾病的基礎上對患者進行臨床治療，部分患者還需要留置鼻膽管引流[1-2]。但是，此方法屬于侵入性操作，所以在操作的過程中有一定的風險性，嚴重者會發生致命危險，所以ERCP圍術期護理尤為重要[3]。該文隨機選擇該院2015年1月—2016年1月期間收治的60例內鏡下逆行膽胰管造影術患者作為此次實驗研究的對象，就內鏡下逆行膽胰管造影術中實施護理干預的價值進行分析，總結患者術后并發癥問題，現報道如下。……