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目的:探讨胆总管切开取石加T型管引流术围手术合理有价值的护理方法。方法:将浙江省青春医院自2000年9月至2013年6月收治的220例胆总管切开取石加T型管引流患者进行回顾性分析。并随机分成两组,分段式护理组和传统组。分段式护理组有110例胆总管切开取石T型管引流术后患者T型管护理采取前8d开放引流,8d后选择抬高引流管;其余110例对照组患者的护理方法为传统方法,即持续开放引流。从患者胆汁引流量、胆汁引流时间、拔管时间、平均住院天数及术后并发症发生率方面,分析比较两组的差异性。结果:经统计学分析,分段式护理组与传统组相比,患者术后8d后胆汁引流量明显减少,拔管时间、引流时间、平均住院天数明显缩短,术后并发症发生率明显减少;分段式护理组对护理的满意度要高于对照组,差异有统计学意义;两组胆道下段通畅情况差异无统计学意义。结论:分段式护理在胆汁引流量、胆汁引流时间、拔管时间、平均住院天数、术后并发症发生率及患者对此次护理的满意程度全面优于传统组。
Objective: To investigate the reasonable and valuable nursing methods of perioperative management of common bile duct incision and T-tube drainage. Methods: 220 cases of choledocholithotomy combined with T-tube drainage in Zhejiang Provincial Youth Hospital from September 2000 to June 2013 were retrospectively analyzed. And randomly divided into two groups, segmented care group and traditional group. In the segmental nursing group, 110 cases of T-tube drainage after choledocholithotomy were used to open and drain the T-tube before 8 days, and then the drainage tube was selected after 8 days. The remaining 110 cases of control group were treated by traditional methods , That is, continue to open drainage. From the patient’s bile drainage, biliary drainage time, extubation time, the average length of stay in hospital and the incidence of postoperative complications, analysis and comparison of the differences between the two groups. Results: After statistical analysis, compared with the traditional group, the segmental nursing group significantly reduced the amount of bile drainage 8 days after operation, and the extubation time, drainage time and average hospitalization days were significantly shortened, and the incidence of postoperative complications was significantly decreased ; Segmented nursing care satisfaction group was higher than the control group, the difference was statistically significant; two groups of biliary lower patency was no significant difference. Conclusion: The segmental nursing in the drainage of bile, bile drainage time, extubation time, the average length of stay in hospital, the incidence of postoperative complications and patient satisfaction with the care of the total better than the traditional group.