湖北民族学院学报（医学版）
湖北民族學院學報（醫學版）
호북민족학원학보（의학판）
Journal of Hubei University for Nationalities (Medical Edition)
2015年
4期
47-49
,共3页
无痛病房%经内镜逆行性胰胆管造影术胆总管取石术%疼痛程度%并发症发生率
無痛病房%經內鏡逆行性胰膽管造影術膽總管取石術%疼痛程度%併髮癥髮生率
무통병방%경내경역행성이담관조영술담총관취석술%동통정도%병발증발생솔
painless ward%ERCP%pain degree%complication rate
目的：探讨建立无痛病房在经内镜逆行性胰胆管造影术（ ERCP ）胆总管取石术中的应用价值。方法选取行ERCP胆总管取石术患者90例，采用随机数字表法将其分为观察组与对照组，每组45例，对照组患者围手术期接受临床常规护理，观察组行无痛病房管理无痛护理模式，比较两组患者术后疼痛缓解效果及并发症发生率。结果观察组患者完全缓解44例，中度缓解1例，轻度缓解0例，缓解有效率为97．78％，对照组完全缓解21例，中度缓解16例，轻度缓解8例，缓解有效率46．67％，观察组缓解有效率明显高于对照组（ P＜0.05）；观察组患者生活质量、护理满意度评分明显高于对照组；观察组住院时间、并发症发生率明显短（低）于对照组（ P＜0．05）。结论建立系统的疼痛护理管理模式可通过评估患者术后疼痛程度制定针对性干预方案，有效降低患者术后疼痛程度及并发症发生率，具有临床应用及推广价值。
目的：探討建立無痛病房在經內鏡逆行性胰膽管造影術（ ERCP ）膽總管取石術中的應用價值。方法選取行ERCP膽總管取石術患者90例，採用隨機數字錶法將其分為觀察組與對照組，每組45例，對照組患者圍手術期接受臨床常規護理，觀察組行無痛病房管理無痛護理模式，比較兩組患者術後疼痛緩解效果及併髮癥髮生率。結果觀察組患者完全緩解44例，中度緩解1例，輕度緩解0例，緩解有效率為97．78％，對照組完全緩解21例，中度緩解16例，輕度緩解8例，緩解有效率46．67％，觀察組緩解有效率明顯高于對照組（ P＜0.05）；觀察組患者生活質量、護理滿意度評分明顯高于對照組；觀察組住院時間、併髮癥髮生率明顯短（低）于對照組（ P＜0．05）。結論建立繫統的疼痛護理管理模式可通過評估患者術後疼痛程度製定針對性榦預方案，有效降低患者術後疼痛程度及併髮癥髮生率，具有臨床應用及推廣價值。
목적：탐토건립무통병방재경내경역행성이담관조영술（ ERCP ）담총관취석술중적응용개치。방법선취행ERCP담총관취석술환자90례，채용수궤수자표법장기분위관찰조여대조조，매조45례，대조조환자위수술기접수림상상규호리，관찰조행무통병방관리무통호리모식，비교량조환자술후동통완해효과급병발증발생솔。결과관찰조환자완전완해44례，중도완해1례，경도완해0례，완해유효솔위97．78％，대조조완전완해21례，중도완해16례，경도완해8례，완해유효솔46．67％，관찰조완해유효솔명현고우대조조（ P＜0.05）；관찰조환자생활질량、호리만의도평분명현고우대조조；관찰조주원시간、병발증발생솔명현단（저）우대조조（ P＜0．05）。결론건립계통적동통호리관리모식가통과평고환자술후동통정도제정침대성간예방안，유효강저환자술후동통정도급병발증발생솔，구유림상응용급추엄개치。
Objective to study the application value of bravery manager stone extraction by the ERCP for painless ward.Methods 90 cases with bravery manager stone extraction by the ERCP were randomly divided into observation group and control group,45 cases in each group.The control group was taken by the clinical routine nursing care in per operation,but the observation group was for painless nursing pattern in painless ward.The pain relief effect after operation and complication rates were compared.Results For the observation group,there were 44 cases for complete remission,1 case for moderate ease,0 case for mild ease and the effective rate was 97.78%,but for the control group, there were 21 cases for complete remission,16 case for moderate ease,8 cases for mild ease and the effective rate was 46.67%.The ease effect of the observation group was obviously higher than that of the control group ( P<0.05) .The life quali-ty,nursing satisfaction scores, hospital stay time and complication rates of the observation group were significantly shorter ( lower) than those of the control group ( P<0.05) .Conclusions to establish systematic pain nursing mode can help make targeted intervention plan by assess-ing pain degree of patients after operation,which can effectively reduce the patient′s postoper-ative pain degree and complications.It has great value of clinical application and popularizing.
