摘要
目的:探讨风险评估及预见性护理在高龄患者行治疗性内镜逆行胰胆管造影术(ERCP)中的应用效果。方法:将2010年1月至2011年7月住院行ERCP治疗的70例高龄患者作为对照组,实施常规护理;2011年8月至2012年12月住院行ERCP治疗的74例高龄患者作为观察组,实施风险评估与预见性护理;比较2组患者对ERCP的耐受性以及手术成功率和并发症的发生率。结果:观察组患者对ERCP的耐受性和并发胆管炎、急性胰腺炎、消化道出血的发生率与对照组差异均有统计学意义(P<0.05);2组患者手术成功率和并发症穿孔的发生率差异无统计学意义(P>0.05)。结论:对治疗性ERCP的高龄患者进行风险评估,实施预见性护理,可有效地提高患者对ERCP的耐受性,明显减少ERCP术后并发症的发生。
Objective： To investigate the effects of risk assessment and predictive nursing on therapeutic endoscopic retrograde cholangiopancreatography（ERCP） in aged patient. Methods：Routine nursing in 70 aged patients treated with ERCP were implemented from Jan. 2010 to Jul. 2011 （control group ）. Risk assessment and predictive nursing in 74 aged patients treated with ERCP were implemented from Aug. 2011 to Dec. 2012 （experimental group）. The ERCP tolerance, success rate of operation and incidence of complications in two groups were compared. Results： There were statistical significances in ERCP tolerance, and the incidence of cholangitis, acute pancreatitis and gastrointestinal hemorrhage between the experimental group and control group （ P 〈 0.05 ）. There were no statistical significances in the success rate of operation and incidence of perforation in two groups （ P 〉 0.05 ）. Conclusions ： Risk assessment and predictive nursing of therapeutic ERCP in aged patients can effectively improve patient tolerability and significantly reduce the occurrence of postoperative complications.
出处
《蚌埠医学院学报》
CAS
2013年第7期902-905,共4页
Journal of Bengbu Medical College
关键词
胰胆管造影术
内镜逆行
胆总管疾病
高龄
风险评估
预见性护理
cholangiopancreatography
endoscopic retrograde
common bile duct diseases
aged
risk ssessment
predictive nursing
