肝内胆管结石病肝叶切除疗效及围手术期护理效果.docVIP

肝内胆管结石病肝叶切除疗效及围手术期护理效果 　　【摘 要】目的：观察肝内胆管结石病干谒切除术的临床治疗效果，并探讨围手术期护理的具体开展措施及护理效果。方法：选取我院于2014年1月～2017年12月收治的肝内胆管结石病肝叶切除患者20例作为研究对象，随机分为对照组及观察组，每组各5例，对照组患者实施常规护理，观察组实施围术期护理干预，对比观察两组患者的治疗效果、术后并发症发生情况、护理满意度。结果：观察组患者的治疗有效率90%（9/10）高于对照组40%（4/10），组间比较差异P0.05，观察组患者的并发症发生率0%（0/10）低于对照组40%（4/10），组间比较差异P0.05，观察组患者的护理满意度90%（9/10）高于对照组70%（7/10），组间比较差异P0.05，两组间数据比较存在统计学差异。结论：肝内胆管结石病肝叶切除治疗效果显著，围术期内加强护理干预，可有效降低并发症发生率，提高患者对护理服务的满意度，值得临床进一步推广普及。 　　【关键词】肝内胆管结石病；肝?~切除；围手术期护理 　　Abstract Objective： To observe the clinical effect of dry mouth resection for intrahepatic cholangiolithiasis， and explore the specific measures and nursing effects of perioperative nursing. Methods： in our hospital in January 2014 ～2017 year in December from hepatolithiasis liver resection in 20 patients as the research object， randomly divided into control group and observation group， 5 cases in each group， the control group received routine nursing， the observation group received perioperative nursing intervention， the two groups were compared after treatment the effect， incidence of postoperative complications and nursing satisfaction. Results： the observation group the effective rate was 90% （9/10） higher than 40% in the control group （4/10）， the difference of P0.05 between the groups of patients in the observation group， the complication rate was 0% （0/10） lower than 40% in the control group （4/10）， P0.05 difference between groups， 90% observation and nursing satisfaction of patients was higher than that of the control （9/10） group 70% （7/10）， P0.05 difference between groups， the observation group and the control group statistically significant difference between the two groups there. Conclusion： hepatolithiasis is effective in the treatment of intrahepatic cholelithiasis. Intensive nursing intervention during perioperative period can effectively reduce the incidence of complications and improve patient satisfaction with nursing services， which is worthy of further popularization. 　　Key words： Hepatolith