摘要
目的探讨导致庆阳市胆囊结石高发的原因。方法选择庆阳市中医医院和环县人民医院2012年1—11月在门诊就诊和住院治疗的400例(其中门诊患者238例,住院患者162例)胆囊结石患者进行问卷调查,将庆阳市中医医院门诊接诊的1 986例胆囊结石高发人群(胆囊炎、脂肪肝等)和门诊就诊的238例胆囊结石患者按门诊编号各随机分为对照组和观察组,其中胆囊结石高发人群对照组993例,观察组993例,门诊的胆囊结石患者对照组119例,观察组119例,分别对胆囊结石高发人群观察组(993例)和胆囊结石患者观察组(119例)进行护理干预,发放健康宣教资料,现场指导,定期进行电话跟踪随访,对效果进行评价统计分析。结果庆阳市胆囊结石高发的因素与性别、年龄、性格、体格、职业、营养状况、生活习惯、饮食习惯、工作性质、水质、运动状况、生育史及B型超声诊断仪的普遍应用等有关。结论通过进行护理干预,发放健康宣教资料,现场指导,增加人们预防胆囊结石的相关知识,改变不良生活、饮食习惯,增加运动量,控制体重,使胆囊结石的发病率降低,胆囊结石患者疼痛反复发作的次数减少,降低手术几率,减少并发症,提高人们的生活质量,降低医疗费用,节约医疗资源。
Objective To explore the causes of high incidence of cholecystolithiasis in Qingyang city. Methods 400 cases of patients with cholecystolithiasis （ including 238 outpatients, 162 inpatients ） treated in outpatient and inpatient of Qingyang Hospital of Traditional Chinese Medicine and Huanxian People＇s Hospital from January, 2012 to November, 2012 were investigated with a questionnaire. 1986 cases of high-risk persons with gallbladder stones（cholecystitis, fatty liver and so on） received by outpatient of Qingyang Hospital of Traditional Chinese Medicine and outpatient 238 cases of patients with gallbladder stones were randomly divided into control group and observation group by outpatient number. High incidence of gallbladder stones observation group （993 people） and gallbladder stones patients observation group （119 people） were given nursing intervention, health education materials, on-site guidance and regular telephone follow-up, respectively. And the effect was evaluated and analyzed statistically. Results The high incidence of gallbladder stones in Qingyang city is related to gender, age, personality, physique, occupation, nutritional status, living habits, eating habits, the nature of the work, water quality, exercise status, reproductive history and the universal application of type B ultrasonic diagnostic instrument. Conclusion Carrying out nursing intervention, issuing health education materials and guiding on-site can increase the knowledge related to the prevention of gallbladder stones of the people, change their bad living and eating habits, increase their amount of exercise, control their weight, so that the incidence of gallbladder stones is decreased, the recurrent times of pain of gallbladder stones patients are reduced, the probability of operation is dropped, and complications are cut down, the quality of life of people is improved, the medical costs are reduced and medical resources are saved.
出处
《中外医疗》
2013年第35期29-32,共4页
China & Foreign Medical Treatment
关键词
庆阳市胆囊结石
发病原因
调查分析
护理干预
Qingyang city
Cholecystolithiasis
Causes of Disease
Investigation and analysis
Nursing intervention
