胆总管结石患者的护理方法分析与研究.docVIP

精品论文 参考文献 胆总管结石患者的护理方法分析与研究 湖南省岳阳县人民医院 414000 【摘 要】目的：研究胆总管结石患者的护理方法。方法：以我院2014年1月-2016年1月胆总管结石患者90例为对象进行分组。I组行常规护理，II组行优质护理。比较两组患者对胆总管结石治疗过程护理满意度；治疗时间、治疗后留置腹腔引流管时间、术后恢复进食时间、失血量；患者胆瘘、肺部感染等并发症发生率的差异。结果：II组跟I组比较，对胆总管结石治疗过程护理满意度更高，P＜0.05；II组相较于I组治疗时间、治疗后留置腹腔引流管时间、术后恢复进食时间更短，失血量更少，P＜0.05；II组相较于I组胆瘘、肺部感染等并发症发生率更低，P＜0.05。结论：胆总管结石患者给予优质护理可提升治疗效果，减少术中出血和术后并发症，缩短术后导尿管留置时间，可快速恢复正常饮食，患者满意度高，值得推广。 【关键词】胆总管结石患者；护理方法 [Abstract]Objective：To study the nursing methods of patients with common bile duct stones.Methods：90 cases of patients with common bile duct stones in our hospital from January 2014 to January in our hospital were divided into cases.I group of routine care，II group line of quality care.Comparison of two groups of patients satisfaction with nursing care during treatment of common bile duct stones；treatment time after treatment，drainage time，postoperative recovery time，blood loss；patients with biliary fistula，pulmonary infection and other complications of the difference.Results：II group and I group，higher in the treatment of common bile duct stones of nursing satisfaction，P lt; 0.05；II group compared with I group after treatment，treatment time，drainage time，postoperative recovery time is shorter，less blood loss，P lt; 0.05；II group compared with I group of biliary fistula pulmonary infection，complication rate is lower，P lt; 0.05.Conclusion：high quality nursing can improve the therapeutic effect for patients with choledocholithiasis，reduce bleeding and postoperative complications，shorten postoperative catheterization time，can quickly return to normal diet，high patient satisfaction，worthy of promotion. [Key words]patients with common bile duct stones；nursing methods 胆总管结石为常见普外科疾病，其发病和胆汁停滞以及胆汁成分异常相关，临床多行胆总管探查取石和开腹胆囊切除术进行治疗，但手术中需加强护理，以减少并发症的发生[1]。本研究对胆总管结石患者的护理方法进行分析，报告如下。 1资料与方法 1.1一般资料 以我院2014年1月-2016年1月胆总管结石患者90例为对象进行分组。所有患者符合胆总管结石诊断标准，伴随不同程度胆绞痛发作史、发热和黄疸等症状。 II组患者男27例，女18例；31-73岁，年龄（56.13plusmn;2.15）岁。发病时间1个月-7年，平均（6.62plusm