護(hù)理干預(yù)對(duì)內(nèi)鏡下逆行膽胰管造影術(shù)患者術(shù)后并發(fā)癥的影響

[摘要] 目的 探討護(hù)理干預(yù)對(duì)內(nèi)鏡下逆行膽胰管造影術(shù)患者術(shù)后并發(fā)癥的影響情況，分析實(shí)施護(hù)理干預(yù)的總體價(jià)值。方法 隨機(jī)選擇該院2015年1月—2016年1月期間收治的60例內(nèi)鏡下逆行膽胰管造影術(shù)患者作為此次實(shí)驗(yàn)研究的對(duì)象，按照護(hù)理方法的不同分為采取綜合護(hù)理干預(yù)的實(shí)驗(yàn)組以及采取常規(guī)護(hù)理干預(yù)的參照組，各組分別為30例，對(duì)比兩組患者的術(shù)后并發(fā)癥情況。結(jié)果 實(shí)驗(yàn)組發(fā)生并發(fā)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(fā)生并發(fā)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(jīng)統(tǒng)計(jì)學(xué)分析，兩組差異具有統(tǒng)計(jì)學(xué)意義，χ2=8.0756，P=0.0044。 結(jié)論 內(nèi)鏡下逆行膽胰管造影術(shù)患者術(shù)后易發(fā)生并發(fā)癥問題，所以術(shù)后對(duì)進(jìn)行綜合護(hù)理干預(yù)，能夠有效地緩解患者的不良情況，降低并發(fā)癥的發(fā)生幾率。

[關(guān)鍵詞] 綜合護(hù)理；常規(guī)護(hù)理；并發(fā)癥情況；內(nèi)鏡；逆行膽胰管造影術(shù)

[中圖分類號(hào)] R5 [文獻(xiàn)標(biāo)識(shí)碼] A [文章編號(hào)] 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(guān)數(shù)據(jù)報(bào)道結(jié)果顯示，我國(guó)膽道疾病患者的臨床發(fā)病率呈逐年遞增的發(fā)展趨勢(shì)，對(duì)于膽道疾病而言，內(nèi)鏡下逆行膽胰管造影術(shù)——ERCP是其中最為行之有效的檢查方法，會(huì)在結(jié)合患者膽道疾病的基礎(chǔ)上對(duì)患者進(jìn)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(fēng)險(xiǎn)性，嚴(yán)重者會(huì)發(fā)生致命危險(xiǎn)，所以ERCP圍術(shù)期護(hù)理尤為重要[3]。該文隨機(jī)選擇該院2015年1月—2016年1月期間收治的60例內(nèi)鏡下逆行膽胰管造影術(shù)患者作為此次實(shí)驗(yàn)研究的對(duì)象，就內(nèi)鏡下逆行膽胰管造影術(shù)中實(shí)施護(hù)理干預(yù)的價(jià)值進(jìn)行分析，總結(jié)患者術(shù)后并發(fā)癥問題，現(xiàn)報(bào)道如下。……