临床护理路径在胆总管结石患者内镜逆行胰胆管造影术治疗中应用.docVIP

临床护理路径在胆总管结石患者内镜逆行胰胆管造影术治疗中的应用 　　[摘要] 目的 探讨临床护理路径在胆总管结石患者内镜逆行胰胆管造影术（ERCP）治疗中的应用效果。 方法 分析荆州市中心医院2010年1月～2014年1月收治的胆总管结石患者120例临床资料，依据护理措施不同分为基础护理组（60例）和临床护理路径组（60例）。基础护理组给予常规性的护理措施，临床护理路径组给予术前准备、术中配合、术后护理等一系列护理措施。观察两组患者肛门开始排气时间、离床活动时间、住院时间情况；观察两组患者首次插管成功率、术后胆道继发感染率、消化道穿孔发生率情况。 结果 两组性别构成、年龄分布、平均体重情况等一般资料比较差异无统计学意义（χ2=0.06，t = 1.08、0.33，均P ＞ 0.05），临床护理路径组肛门开始排气时间、离床活动时间、住院时间均低于基础护理组，差异均有统计学意义（t = 8.64、7.72、3.81，均P ＜ 0.05），临床护理路径组首次插管成功率、术后胆道继发感染、消化道穿孔发生率均优于基础护理组，差异均有统计学意义（χ2=16.00、9.98、10.53，均P ＜ 0.05）。 结论 临床护理路径在胆总管结石患者ERCP治疗中可以明显提高患者的治疗效果，降低术后并发症发生率，值得临床推广应用。 　　[关键词] 临床护理路径；胆总管结石；内镜逆行胰胆管造影术 　　[中图分类号] R657.42[文献标识码] B[文章编号] 1673-7210（2014）05（c）-0142-04 　　 　　Application of clinical nursing path in patients with common bile duct calculi underwent endoscopic retrograde cholangiopancreatography 　　JIN Mingxiang WANG Ping▲ 　　Department of Hepatobiliary Surgery, Jingzhou Central Hospital, Hubei Province, Jingzhou 434020, China 　　[Abstract] Objective To approach application effect of clinical nursing path in patients with common bile duct calculi underwent endoscopic retrograde cholangiopancreatography (ERCP) treatment. Methods The clinical data of 120 cases of patients with common bile duct calculi in Jingzhou Central Hospital from January 2010 to January 2014 were analyzed, the patients were divided into basic nursing group (60 cases) and clinical nursing path group (60 cases) according to different nursing paths. Basic nursing group were given routine nursing measures, clinical nursing path group were given preoperative preparation, intraoperative, postoperative nursing of the nursing measures. The passage of flatus time, ambulation time, hospitalization time of two groups were detected, the success rate of intubation in the first time, biliary tract infection, gastrointestinal perforation rate of two groups were detected. Results The general information on gender composition, age distribution, average weight of two groups were not significant different (χ2=0.06, t