任威颖++尹大龙

[摘要] 目的 探討与分析综合护理干预对经皮肝穿刺引流术治疗胆管癌并发症的影响。 方法 选取哈尔滨医科大学附属第一医院2015年4月～2017年4月接受经皮肝穿刺引流术治疗的胆管癌患者90例，采取随机数字表法分为对照组与观察组，每组各45例。对照组给予常规护理，观察组在对照组基础上给予综合护理干预，两组均连续护理2个月，比较两组患者并发症发生率、护理满意度及生存质量。 结果 观察组感染、腹腔内出血、恶心呕吐、胆漏、休克发生率均低于对照组，差异有统计学意义（P < 0.05）。观察组护理满意度明显高于对照组，差异有统计学意义（P < 0.05）。护理后两组患者躯体功能、角色功能、认知功能、情绪功能及社会功能评分均高于护理前，观察组上述评分升高更加显著，差异均有统计学意义（均P < 0.05）。 结论 综合护理干预可降低经皮肝穿刺引流术治疗胆管癌患者的并发症发生率，提高护理满意度，改善生存质量。

[关键词] 综合护理干预；经皮肝穿刺引流术；胆管癌；并发症

[中图分类号] R473 [文献标识码] A [文章编号] 1673-7210（2017）11（a）-0157-04

The effect of comprehensive nursing intervention on complications of percutaneous liver puncture drainage in the treatment of biliary carcinoma

REN Weiying YIN Dalong▲

Department of Liver Surgery， the First Affiliated Hospital of Harbin Medical University， Heilongjiang Province， Harbin 150001， China

[Abstract] Objective to explore and analyze the effect of comprehensive nursing intervention on complications of percutaneous liver puncture drainage in the treatment of biliary carcinoma. Methods Ninety cases of patients with biliary carcinoma underwent percutaneous liver puncture drainage from April 2015 to April 2017 in the First Affiliated Hospital of Harbin Medical University were selected and divided into the control group and the observation group by random number table， with 45 cases in each group. The control group was given routine nursing care and the observation group was given comprehensive nursing intervention. Each group was given continuous nursing for 2 months. The complication rate， nursing satisfaction and the quality of life were compared between the two groups. Results The rates of infection， abdominal bleeding， nausea and vomiting， bile leakage and shock in the observation group were lower than those of control group， with statistically significant differences（P < 0.05）. The nursing satisfaction in the observation group was higher than that of control group， with statistically significant difference（P < 0.05）. After nursing， the scores of physical function， role function， cognitive function， emotional function and social function in the two groups were all higher than those of before nursing， and the indicators above in the observation group increased more remarkablely， with statistically significant difference （all P < 0.05）. Conclusion Comprehensive nursing intervention in patients with bile duct carcinoma underwent percutaneous liver puncture drainage can reduce the complication rate， improve nursing satisfaction and promote the quality of life.endprint