中国实用护理杂志
中國實用護理雜誌
중국실용호리잡지
CHINESE JOURNAL OF PRACTICAL NURSING
2010年
20期
26-27
,共2页
导丝%鼻胆管%引流术
導絲%鼻膽管%引流術
도사%비담관%인류술
Guidewire%Nose biliary duct%Drainage
目的 比较2种鼻胆管口鼻转换法在鼻胆管引流术中的成功率、一次抓取成功率、平均所需时间和并发症的发生率.方法 将2008年3月至2010年3月在我科经内镜逆行胰胆管造影(ERCP)诊疗中实施内镜下鼻胆管引流术的60例患者随机分成研究组和对照组各30例,在鼻胆管口鼻转换中采用导丝套取胃管的作为研究组;采用传统方法的为对照组.对2组的胃管套取成功率、一次抓取成功率、平均所需时间、患者出现不良反应情况进行比较.结果 研究组成功率100%,对照组成功率90%,但2组比较无显著差异.研究组一次抓取成功率76.7%,显著高于对照组的46.7%.研究组平均所需时间(1.3±0.3)min,显著少于对照组的(5.1±0.7)min.研究组不良反应发生率为13.3%,显著低于对照组的93.3%.结论 用导丝套取胃管的方法可提高胃管的一次抓取成功率,缩短胃管抓取时间,明显减轻患者的不适.
目的 比較2種鼻膽管口鼻轉換法在鼻膽管引流術中的成功率、一次抓取成功率、平均所需時間和併髮癥的髮生率.方法 將2008年3月至2010年3月在我科經內鏡逆行胰膽管造影(ERCP)診療中實施內鏡下鼻膽管引流術的60例患者隨機分成研究組和對照組各30例,在鼻膽管口鼻轉換中採用導絲套取胃管的作為研究組;採用傳統方法的為對照組.對2組的胃管套取成功率、一次抓取成功率、平均所需時間、患者齣現不良反應情況進行比較.結果 研究組成功率100%,對照組成功率90%,但2組比較無顯著差異.研究組一次抓取成功率76.7%,顯著高于對照組的46.7%.研究組平均所需時間(1.3±0.3)min,顯著少于對照組的(5.1±0.7)min.研究組不良反應髮生率為13.3%,顯著低于對照組的93.3%.結論 用導絲套取胃管的方法可提高胃管的一次抓取成功率,縮短胃管抓取時間,明顯減輕患者的不適.
목적 비교2충비담관구비전환법재비담관인류술중적성공솔、일차조취성공솔、평균소수시간화병발증적발생솔.방법 장2008년3월지2010년3월재아과경내경역행이담관조영(ERCP)진료중실시내경하비담관인류술적60례환자수궤분성연구조화대조조각30례,재비담관구비전환중채용도사투취위관적작위연구조;채용전통방법적위대조조.대2조적위관투취성공솔、일차조취성공솔、평균소수시간、환자출현불량반응정황진행비교.결과 연구조성공솔100%,대조조성공솔90%,단2조비교무현저차이.연구조일차조취성공솔76.7%,현저고우대조조적46.7%.연구조평균소수시간(1.3±0.3)min,현저소우대조조적(5.1±0.7)min.연구조불량반응발생솔위13.3%,현저저우대조조적93.3%.결론 용도사투취위관적방법가제고위관적일차조취성공솔,축단위관조취시간,명현감경환자적불괄.
Objective To compare the success rate, the one-time success rate, the average required time and the incidence of complications of two methods in oronasal conversion of nose biliary duct in naso-biliary drainage. Methods 60 cases of patients with ENBD in the ERCP in our department from March,2008 to March, 2010 were divided into the study group and the control group by random. The patients with sleeving the gastric tube by the guidewire during oronasal conversion of nose biliary duct were considered as the study group, and the patients using the traditional method were considered as the control group. The success rate of sleeving gastric tube, the one-time success rate of grasping, the average required time and the adverse reactions of the two groups were compared. Results The success rate of the study group was 100%, and the control group was 90%, there was no statistical significance. The one-time success rate of the study group was 76.7%, higher than 46.7% of the control group. The average required time of the study group were (1.3±0.3) min, shorter than (5.1±0.7) min of the control group. The incidence of complications in the study group were 13.3%, lower than 93.3% of the control group. Conclusions To sleeve the gastric tube by the guidewire can increase the one-time success rate of grasping the gastric tube, shorten time of grasping the gastric tube and significantly reduce discomfort of patients.
