谢琴

【摘要】 目的：分析整体护理对胆囊及胆总管结石患者三镜联合治疗后的护理价值。方法：将院内收治的64例实施三镜联合治疗的胆囊及胆总管结石患者随机分为观察组和对照组各32例，其中观察组给予整体护理干预措施，对照组给予院内常规护理措施，比较两组临床护理疗效及满意度。结果：观察组排气时间、恢复时间及并发症发生率均明显低于对照组，组间比较差异有统计学意义（P<0.05）；观察组护理满意度评分明显优于对照组，组间比较差异有统计学意义（P<0.05）。结论：对于应用三镜联合治疗的胆囊及胆总管结石患者而言，整体护理干预措施不仅可有效保证术后患者恢复效果，缩短住院时间，而且还能提高患者满意度，值得临床护理工作中推广应用。

【关键词】 胆囊及胆总管结石； 三镜联合； 整体护理干预

中图分类号 R473.6 文献标识码 B 文章编号 1674-6805（2016）5-0086-02

【Abstract】 Objective：To analyze the nursing value of total nursing care for patients with gallbladder and common bile duct stones combined with three mirrors.Method：64 patients admitted to the hospital to implement gallbladder and common bile duct stones with three-mirror combination therapy were randomly divided into the observation group and the control group，35 cases in each group，the observation group was taken the whole care interventions，the control group was received the routine hospital care measures，the clinical efficacy and satisfaction with care were compared in two groups.Result：The exhaust time，recovery time and complication rate were significantly lower than those in the control group，there were significant differences between the two groups（P<0.05）；care satisfaction scores in the observation group was more than that in the control group，there was a significant difference（P<0.05）.Conclusion：For the patients with gallbladder and common bile duct stones treated by three mirror combined therapy，the overall nursing intervention measures can not only ensure the recovery effect，shorten the length of hospital stay，but also improve the patients satisfaction，which is worthy of clinical nursing work.

【Key words】 Gallbladder and common bile duct stone； Three mirror combined； Holistic nursing intervention

First-authors address：Yongren Peoples Hospital，Yongren 651400，China

doi：10.14033/j.cnki.cfmr.2016.5.045

膽囊结石是临床中常见的一类结石病症，发病以中老年女性居多，其发病原因复杂，多认为与地域和饮食习惯等因素有关；大部分患者并无明显临床症状，少数表现以胆囊炎为主[1]。临床中经常遇到小的胆囊结石会进入到胆总管而发生胆总管结石，故临床中胆囊结石常继发为胆总管结石[2]。本病治疗以外科手术治疗为主，但随着近年来微创技术在医疗领域的不断应用，现今对于本病的治疗方法主要应用三镜联合技术进行治疗[3]，笔者所在医院在三镜联合对胆囊及胆总管结石患者进行治疗中进行整体护理措施干预，取得一定疗效，现汇报如下。

1 资料与方法

1.1 一般资料

选择2014年2-12月笔者所在医院收治的64例胆囊及胆总管结石患者，采用随机数字表法将其分为观察组和对照组各32例，其中观察组男11例，女21例，年龄32～76岁，平均（63.4±5.1）岁，病程3 d～3年，平均（35.3±4.1）d，病理类型：慢性胆囊炎、胆囊多发结石及胆总管结石患者9例，急性胆囊炎、胆囊多发结石及胆总管结石患者23例；……