肝胆手术后胆漏并发症患者的护理探究.docVIP

精品论文 参考文献 肝胆手术后胆漏并发症患者的护理探究 中国人民解放军总医院 北京 100853 　　【摘 要】目的：探讨分析肝胆手术后胆漏并发症患者的护理效果，并分析护理的意义。方法：随机选取自2015年1-3月我院收治的肝胆手术后胆漏并发症的患者80例。并随机分为实验组和对照组两组，每组各40例。对照组进行常规护理方法，实验组采用术前、术中、术后综合护理措施，并对发生胆漏的患者跟踪观察。结果：实验组术后引流时间为2.1plusmn;1.0天，住院时间3.9plusmn;1.1天，对照组术后引流时间4.6plusmn;1.2天，住院时间7.8plusmn;1.3天，实验组术后引流时间及患者的住院时间都明显小于对照组，差异具有统计学意义(Plt;0.05)。实验组患者的护理满意度为97．5％，对照组患者满意度为77.5％。实验组的满意度明显高于对照组患者的满意度，组间差异具有统计学意义(Plt;0.05)。结论：对肝胆手术后胆漏并发症患者进行综合护理，明显缩短了胆漏引流的时间和住院时间，提高了护理满意度，也利于患者早日痊愈，可以在临床上推广。 　　【关键词】肝胆手术；胆漏并发症；护理 　　【中图分类号】R473.6 【文献标识码】A 【文章编号】1764-8999（2015）7-0480-02 　　【Abstract】Objective:To study the analysis of the liver and gallbladder surgery in patients with bile leakage complications after nursing effect,and analyzes the significance of nursing.Methods:randomly selected from our hospital in January 2015-3 month of bile leakage after liver surgery complications of 80 cases of patients.And randomly divided into experimental group and control group in the two groups,40 cases in each group.The control group,routine nursing methods used by preoperative,intraoperative and postoperative comprehensive nursing measures, and the patients with biliary leak tracking.Results:the postoperative drainage time was 2.1plusmn;1.0 days hospitalization time 3.9plusmn;1.1 days,the control of postoperative drainage time 4.6plusmn;1.2 days, hospitalization time 7.8plusmn;1.3 days,the experimental group of patients with postoperative drainage time and hospital stay were significantly less than the control group, the difference is statistically significant(Plt;0.05).The experimental group nursing satisfaction of the patients was 97.5%,control group patients satisfaction was 77.5%.Satisfaction,satisfaction of the experimental group was obviously higher than that of control group patients between group differences statistically significant(Plt;0.05).Conclusion:the comprehensive nursing patients with bile leakage complications after liver surgery,significantly shortened the bile leakage drainage