温龙华江西省景德镇市第一人民医院肝胆外科，江西景德镇　333000

综合护理对腹腔镜下胆囊切除+胆总管切开取石术患者并发症的影响

温龙华
江西省景德镇市第一人民医院肝胆外科，江西景德镇333000

目的 探讨综合护理对腹腔镜下胆囊切除+胆总管切开取石术患者并发症的影响。方法 选取在我院择期行腹腔镜下胆囊切除+胆总管切开取石术的92例患者的临床资料，随机分为对照组和观察组，每组各46例；对照组实施常规护理干预，观察组实施综合护理，比较两组患者术后并发症情况。结果观察组患者术后并发症的发生率明显低于对照组（P<0.05），观察组患者的护理满意度高于对照组（P<0.05）。结论 胆囊切除+胆总管切开取石术通过综合护理干预，有效减少患者术后并发症，缩短患者康复时间，提高患者术后的生活质量，值得临床推广应用。

腹腔镜；胆囊切除；胆总管取石术；综合护理

[Abstract]Objective To discuss the effect of comprehensive nursing on complications of laparoscopic cholecystectomy plus choledocholithotomy.Methods Clinical data of 92 patients with laparoscopic cholecystectomy plus choledocholithotomy in our hospital were Collected and randomly divided into control group and observation group,each with 46 cases.Patients in the control group were given routine nursing,while patients in the observation group were given comprehensive nursing.Incidence rates of postoperative complications were compared.Results The incidence rate of complications in the observation group was significantly lower than in the control group(P<0.05).The nursing satisfac tion in the observation group was significantly higher than that in the control group(P<0.05).Conclusion Comprehensive nursing in patients with laparoscopic cholecystectomy plus choledocholithotomy can effectively reduce incidence of complications,shorten recovery time,and improve life quality of patients,which is worthy to be promoted.

[Key words]Laparoscope;Cholecystectomy;Choledocholithotomy;Comprehensive nursing

胆囊炎、胆囊结石、胆总管结石是肝胆外科最常见的疾病之一，并呈现逐年上升趋势。腹腔镜下胆囊切除，胆总管切开取石术具有创伤小、手术效果好、术后恢复快、住院时间短、并发症少等优势，手术治疗中保留了器官的功能，提高了患者康复之后的生活质量[1]。腹腔镜下胆囊切除，胆总管切开取石术配合术前、术后护理，有效地减少患者术后并发症，促进患者尽快康复。本研究给予46例腹腔镜下胆囊切除+胆总管切开取石术患者实施综合护理干预，护理效果显著，现报道如下。

1　资料与方法

1.1一般资料

回顾性分析在我院择期行腹腔镜下胆囊切除+胆总管切开取石术的92例患者的临床资料，其中男40例，女52例；年龄25～76岁，平均（44.5±5.5）岁；均有右上腹疼痛等症状，病史2～10年。经MRI证实，胆总管结石21例，慢性胆囊炎10例，胆囊结石合并胆管结石61例。……