CAJ | 학술논문

目的：探讨胰腺损伤手术术后并发胰漏的护理措施。方法选择36例Ⅲ～Ⅳ级胰腺损伤术后发生胰漏患者为研究对象，根据护理方式不同，采用非同期分组方式，分为对照组19例，观察组17例。对照组给予基础护理，观察组除基础护理外另给予管道护理；比较2组患者感染例数、再次手术例数及死亡例数。结果观察组感染例数5例，再次手术例数为1例，死亡例数0例；对照组感染例数为14例，再次手术例数为7例，死亡例数为3例。2组感染例数、再次手术例数比较，差异有统计学意义（P<0.05）结论通过采取不同的护理方式，严密观察病情，加强引流管管理，同时实施有效心理护理，能减少并发症的发生，提高胰漏的治愈率。
목적：탐토이선손상수술술후병발이루적호리조시。방법선택36례Ⅲ～Ⅳ급이선손상술후발생이루환자위연구대상，근거호리방식불동，채용비동기분조방식，분위대조조19례，관찰조17례。대조조급여기출호리，관찰조제기출호리외령급여관도호리；비교2조환자감염례수、재차수술례수급사망례수。결과관찰조감염례수5례，재차수술례수위1례，사망례수0례；대조조감염례수위14례，재차수술례수위7례，사망례수위3례。2조감염례수、재차수술례수비교，차이유통계학의의（P<0.05）결론통과채취불동적호리방식，엄밀관찰병정，가강인류관관리，동시실시유효심리호리，능감소병발증적발생，제고이루적치유솔。
Objective To study the pancreas injury caused by pancreatic leakage after surgery nursing measures.Methods Collected levelⅢ - levelⅣ pancreas injury of pancreatic leakage occurred after 36 patients, according to different nursing mode, USES the grouping of the same period, 19 cases were divided into control group and observation of 17 cases. Control group given basic nursing, the observation group in addition to the basic nursing another given pipeline care; compare two groups of patients with infections, reoperation rate and the death toll.Results Observation group infection in 5 cases, the number of reoperation for 1 case, the death toll in 0 case; the control infections in 14 cases, the number of reoperation was 7 cases, deaths in 3 cases.Conclusion By adopting different ways of nursing,close observation condition,in order to strengthen the management of drainage tube, at the same time carry out effective psychological nursing, can reduce the occurrence of complications, improve the cure rate of pancreatic leakage.