CAJ | 학술논문

目的：：探讨腹腔镜胆总管探查取石胆管一期缝合术的临床护理措施和效果。方法：研究选择某院2012年1月~2014年12月之间收治的100例胆结石患者为观察对象，随机将其分为对照组和实验组，对照组观察对象接受常规临床护理，实验组观察对象接受系统的围术期护理，回顾分析两组患者的临床护理效果。结果：实验组50例观察对象术后住院时间、胆道出血、应激性溃疡出血、术后残石、术后胆瘘、腹腔引流管放置时间、术后3d 平均日补液量、手术时间等观察指标均明显优于对照组(P <0.05)。结论：研究结果证实，腹腔镜胆总管探查取石胆管一期缝合术患者接受系统的围术期护理，有助于其临床治疗效果的巩固，以及术后恢复速度的提高，因而临床推广和应用价值较高。
목적：：탐토복강경담총관탐사취석담관일기봉합술적림상호리조시화효과。방법：연구선택모원2012년1월~2014년12월지간수치적100례담결석환자위관찰대상，수궤장기분위대조조화실험조，대조조관찰대상접수상규림상호리，실험조관찰대상접수계통적위술기호리，회고분석량조환자적림상호리효과。결과：실험조50례관찰대상술후주원시간、담도출혈、응격성궤양출혈、술후잔석、술후담루、복강인류관방치시간、술후3d 평균일보액량、수술시간등관찰지표균명현우우대조조(P <0.05)。결론：연구결과증실，복강경담총관탐사취석담관일기봉합술환자접수계통적위술기호리，유조우기림상치료효과적공고，이급술후회복속도적제고，인이림상추엄화응용개치교고。
Objective:To investigate clinical nursing measures during primary suture after laparoscopic choledocholithotomy and analyze the effect.Methods:A total of 100 patients with gallstones received in some hospital during the period from January 2012 to December 2014 were selected as the research object,random-ly divide them into control group and experimental group,the control group received routine nursing,the ex-perimental group received systematical perioperative nursing ,the clinical nursing effect of the two groups were analyzed retrospectively.Results:In the experimental group,the postoperative length of stays,helobi-lia ,stress ulceration and bleeding,postoperative residual stone,postoperative biliary fistula,detaining time of abdominal drainage tube ,average daily input volume of fluid within the 3 days after operation,operation time and observation indicators of the 50 patients .were significantly better than that in control group (P <0.05).Conclusion:The results of this study showed that systematical perioperative nursing for patients re-ceived laparoscopic choledocholithotomy and primary suture would help to consolidate the clinical treatment effect and shorten the time to recover,thus it is worthy of clinical promotion and application .