复杂性肝内胆结石患者术后的引流管管道护理与追踪

发布时间：2018-06-25 03:22

本文选题：胆结石 + 复杂性肝内胆结石　；参考：《广东医学》2017年02期

【摘要】：目的观察复杂性肝内胆结石(肝内多区多段胆管多发结石)患者术后进行T型引流管引流后患者情况,进行引流管管道优质护理以及引流管管道追踪,为复杂性肝内胆结石患者术后引流管管道护理提供帮助。方法选取就诊的复杂性肝内胆管结石患者153例作为主要研究对象,依据患者入院时间顺序,分为对照组(75例)和观察组(78例),对照组采用常规护理,观察组应用优质护理并管道追踪,患者均进行肝切除术治疗后行T管引流,对患者术后引流管管道进行追踪及优质护理,对比两组患者管道滑脱率、护理满意度、患者治疗后3个月及1年的疗效、患者1年内胆结石复发或继发胆囊炎以及胆囊息肉发生率。结果观察组患者管道滑脱率15.38%显著低于对照组46.67%(P0.01);观察组的满意度75.64%明显高于对照组33.33%(P0.01);对照组患者治疗后3个月有效率为64.00%低于观察组84.62%(P0.05);1年后对照组患者有效率为54.67%显著低于观察组84.62%(P0.05);1年内对照组胆结石复发率、继发胆囊炎患者、胆囊息肉检出率均显著高于观察组(P0.05)。结论对复杂性肝内胆结石患者采用术后引流管管道护理以及追踪能够减少患者管道滑脱、提高患者满意度、有效率,尤其是对于患者1年内的有效率,降低术后复发、继发胆囊炎、胆囊息肉发生率,值得临床推广。
[Abstract]:Objective To observe the situation of postoperative patients with complicated intrahepatic cholelithiasis (multiple intrahepatic multi segment bile duct stones) after T drainage tube drainage, to carry out high quality nursing and drainage pipe tracing for drainage pipe, and to provide help for postoperative complications of complicated intrahepatic cholelithiasis. 153 cases of choledocholithiasis were used as the main research object. According to the order of admission time, the patients were divided into the control group (75 cases) and the observation group (78 cases), the control group adopted the conventional nursing, the observation group applied the high quality nursing and the pipeline tracking, the patients underwent T tube drainage after the hepatectomy, followed the postoperative drainage pipe pipeline and quality protection. In the two groups, the rate of the two groups of patients' slipping, nursing satisfaction, the curative effect of 3 months and 1 years after the treatment, the recurrence of gallbladder stones or secondary cholecystitis and the incidence of gallbladder polyps in the 1 years of the patients were found to be 15.38% significantly lower than that of the control group (P0.01), and the satisfaction 75.64% of the observation group was significantly higher than that of the control group 33.33%. The effective rate of 3 months after treatment in the control group was 64% lower than that of the observation group (84.62%) (P0.05); the effective rate of the control group was 54.67% significantly lower than that of the observation group (P0.05) after 1 years (P0.05); the rate of gallstone recurrence in the control group, secondary cholecystitis, and gallbladder polyps in the control group was significantly higher than that in the observation group (P0.05) in 1 years (P0.05). The postoperative drainage tube nursing and tracking can reduce the patient's pipeline slippage, improve the patient's satisfaction and efficiency, especially for the patient within 1 years, and reduce the recurrence of postoperative, secondary cholecystitis, and the incidence of gallbladder polyps. It is worthy of clinical promotion.
【作者单位】：海南省人民医院护理部;
【基金】：海南省卫生计生行业科研项目(编号:14A210223)
【分类号】：R473.6

【参考文献】