全科护理
全科護理
전과호리
FAMILY NURSE
2014年
36期
3370-3372
,共3页
恶性梗阻性黄疸%经皮肝穿刺胆道引流术%口服胆汁%护理
噁性梗阻性黃疸%經皮肝穿刺膽道引流術%口服膽汁%護理
악성경조성황달%경피간천자담도인류술%구복담즙%호리
malignant obstructive jaundice%percutaneous transhepatic bili-ary drainage,PTCD%oral bile%nursing
[目的]探讨口服胆汁对行经皮肝穿刺胆道引流术(PTCD)后恶性梗阻性黄疸病人肝功能、营养状况的改善情况及病人口服胆汁的不良反应。[方法]将85例恶性梗阻性黄疸行PTCD术的病人随机分为观察组与对照组，观察组43例，对照组42例。观察组在常规治疗基础上口服胆汁；对照组行常规治疗不口服胆汁。比较两组病人肝肾功能、胃肠功能、营养状况、电解质等。[结果]观察组病人的肝功能及胆红素指标低于对照组，但结果比较无统计学意义(P>0.05)，观察组营养状况指标中三头肌皮脂厚度、人血白蛋白及总蛋白均高于对照组，差异有统计学意义(P<0.05)；两组病人胃肠反应差异无统计学意义(P>0.05)。[结论]恶性梗阻性黄疸病人行PTCD后口服胆汁对肝功能的恢复及黄疸消退无显著作用，但对病人营养状况的改善有明显促进作用，且无严重不良反应。因此，临床护士可指导此类病人口服胆汁，以改善病人营养状态，为提高病人生活质量及行手术治疗提供条件。
[目的]探討口服膽汁對行經皮肝穿刺膽道引流術(PTCD)後噁性梗阻性黃疸病人肝功能、營養狀況的改善情況及病人口服膽汁的不良反應。[方法]將85例噁性梗阻性黃疸行PTCD術的病人隨機分為觀察組與對照組，觀察組43例，對照組42例。觀察組在常規治療基礎上口服膽汁；對照組行常規治療不口服膽汁。比較兩組病人肝腎功能、胃腸功能、營養狀況、電解質等。[結果]觀察組病人的肝功能及膽紅素指標低于對照組，但結果比較無統計學意義(P>0.05)，觀察組營養狀況指標中三頭肌皮脂厚度、人血白蛋白及總蛋白均高于對照組，差異有統計學意義(P<0.05)；兩組病人胃腸反應差異無統計學意義(P>0.05)。[結論]噁性梗阻性黃疸病人行PTCD後口服膽汁對肝功能的恢複及黃疸消退無顯著作用，但對病人營養狀況的改善有明顯促進作用，且無嚴重不良反應。因此，臨床護士可指導此類病人口服膽汁，以改善病人營養狀態，為提高病人生活質量及行手術治療提供條件。
[목적]탐토구복담즙대행경피간천자담도인류술(PTCD)후악성경조성황달병인간공능、영양상황적개선정황급병인구복담즙적불량반응。[방법]장85례악성경조성황달행PTCD술적병인수궤분위관찰조여대조조，관찰조43례，대조조42례。관찰조재상규치료기출상구복담즙；대조조행상규치료불구복담즙。비교량조병인간신공능、위장공능、영양상황、전해질등。[결과]관찰조병인적간공능급담홍소지표저우대조조，단결과비교무통계학의의(P>0.05)，관찰조영양상황지표중삼두기피지후도、인혈백단백급총단백균고우대조조，차이유통계학의의(P<0.05)；량조병인위장반응차이무통계학의의(P>0.05)。[결론]악성경조성황달병인행PTCD후구복담즙대간공능적회복급황달소퇴무현저작용，단대병인영양상황적개선유명현촉진작용，차무엄중불량반응。인차，림상호사가지도차류병인구복담즙，이개선병인영양상태，위제고병인생활질량급행수술치료제공조건。
Obj ective:To probe into the improvement of having oral bile for liver function and nutritional status patients with malignant obstructive j aundice after percutaneous transhepatic biliary drainage (PTCD),and the adverse reactions.Methods:A total of 85 patients with malignant obstruc-tive jaundice after PTCD were randomly divided into observation group and control group,43 cases in observation group and 42 cases in control group. The patients in observation group had oral bile on the basis of routine treat-ment,while the patients in control group received routine treatment only. And then to compare the patients’liver and kidney function,gastrointesti-nal function,nutritional status and electrolyte between both groups.Re-sults:The patients’liver function and bilirubin index in observation group were lower than that in control group,but the comparative results were not statistically significant(P>0.05).The patients’triceps skinfold thickness, serum albumin and total protein among nutritional indicators in observation group were higher than that in control group,and the difference was statis-tically significant(P<0.05).There was not statistically significant differ-ence in patients’gastrointestinal function between both groups(P>0.05). Conclusion:Having oral bile in patients with malignant obstructive jaundice after PTCD has not significant effect for the recovery of liver function and jaundice subsided,but it can significantly improve the patients’nutritional status and don't have adverse reactions.Therefore,clinical nurses can guide such patients to have oral bile,so as to improve the patients'nutritional sta-tus and improve the patients'quality of life and provide conditions for opera-tion treatment.
