摘要
目的探讨预见性护理在胆总管结石患者经内镜逆行胰胆管造影术取石术(ERCP)后的应用效果。方法选择2019年6月~2021年6月我院收治的108例拟行ERCP患者为研究对象,按随机数字表法分为对照组和观察组,每组54例。对照组给予常规护理,观察组给予预见性护理,观察比较两组患者术后康复情况、炎症因子水平、心理状况以及并发症发生情况。结果观察组患者术后住院时间、排气时间、下床活动时间均短于对照组,差异均有统计学意义(均P<0.05)。术后3 d,观察组的白细胞介素-6(IL-6)、白细胞介素-8(IL-8)、肿瘤坏死因子-α(TNF-α)水平均低于对照组,汉密顿焦虑量表(HAMA)评分低于对照组,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7.40%明显低于对照组的22.22%,差异有统计学意义(P<0.05)。结论预见性护理有助于减轻ERCP患者术后炎症反应,缓解患者焦虑情绪,降低不良反应,有利于促进患者术后康复。
Objective To explore the effect of predictive nursing in patients with choledocholithiasis after endoscopic retrograde cholangiopancreatography(ERCP).Methods The 108 patients undergoing ERCP who were admitted to our hospital from June 2019 to June 2021 were selected and divided into a control group and an observation group according to a random number table,with 54 cases in each.The control group was given routine care,and the observation group was given predictive care.The postoperative rehabilitation,changes in inflammatory factor levels,psychological status,and complications of the two groups were compared.Results The postoperative hospital stay,exhaust time,and time to get out of bed in the observation group were shorter than those in the control group(P<0.05 for each).3 d after surgery,the levels of interleukin-6(IL-6),interleukin-8(IL-8)and tumor necrosis factor-α(TNF-α)in the observation group were lower than those in the control group(P<0.05 for each).3 d after surgery,the Hamilton Anxiety Scale(HAMA)score of the observation group was lower than that of the control group(P<0.05).The complication rate in the observation group was 7.40%,which was lower than 22.22%in the control group(P<0.05).Conclusion Predictive care helps to reduce postoperative inflammation in ERCP patients,at the same time alleviate the anxiety of patients,reduce the occurrence of postoperative complications,and promote postoperative recovery of patients.
作者
陈美琴
施亚珠
赖珊玲
CHEN Mei-qin;SHI Ya-zhu;LAI Shan-ling(Department of Gastroenterology,910th Hospital of PLA Joint Logistic Support Force,Quanzhou City,Fujian Province,362000,China)
出处
《蛇志》
2022年第3期396-399,共4页
Journal of Snake
关键词
预见性护理
胆总管结石
经内镜逆行胰胆管造影术
护理效果
Predictive care
Choledocholithiasis
Endoscopic retrograde cholangiopancreatography
Nursing effect
