摘要
目的分析胰十二指肠切除术后患者发生胃排空延迟(delayed gastric emptying,DGE)的相关因素及针对性护理措施。方法将2015年1月至2020年12月收治的86例胰十二指肠切除术治疗患者以随机抽签法分组,各43例,对照组实施常规护理,观察组在对照组基础上实施针对性护理干预,分析针对性护理干预措施。结果观察组患者术后DGE发生率比对照组低(P<0.05)。单因素分析显示,胰十二指肠切除术后发生DGE及未发生DGE患者在年龄、营养状况、手术时间、术后排气时间及手术后感染等因素上对比有统计学差异(P<0.05)。多因素分析显示,营养状况、手术时间、术后排气时间及手术后感染是影响胰十二指肠切除术后DGE的危险因素。结论胰十二指肠切除术后DGE相关因素包括年龄、营养状况、手术时间、术后排气时间、术后感染,对这些因素进行针对性护理干预,有助于降低DGE的发生率,提升患者术后恢复效果。
Objective To analyze the related factors of delayed gastric emptying(DGE)after pancreatoduodenectomy and the targeted nursing measures.Methods Eighty-six patients with pancreatoduodenectomy from January 2015 to December 2020 were randomly divided into two groups,43 cases in each group.The control group was given routine nursing,and the observation group was given targeted nursing intervention on the basis of the control group.Results The incidence of DGE in the observation group was lower than that in the control group(P<0.05).Univariate analysis showed that there were significant differences in age,nutritional status,operation time,postoperative exhaust time and postoperative infection between patients with and without DGE after pancreatoduodenectomy(P<0.05).Multivariate analysis showed that nutritional status,operation time,postoperative exhaust time and postoperative infection were risk factors for DGE after pancreatoduodenectomy.Conclusion The related factors of DGE after pancreaticoduodenectomy include age,nutritional status,operation time,postoperative exhaust time and postoperative infection.Targeted nursing intervention on these factors can help to reduce the incidence of dge and improve the recovery effect of patients.
作者
李金娜
LI Jinna(Ward 5 of Minimally Invasive Surgery,Liaoyang Central Hospital,Liaoyang 111000,China)
出处
《中国医药指南》
2021年第13期195-197,共3页
Guide of China Medicine
关键词
胰十二指肠切除术
胃排空延迟
发生率
相关因素
针对性护理
Pancreatoduodenectomy
Delayed gastric emptying
The incidence of the disease
Related factors
Targeted nursing
