首页> 外文期刊>Nursing of intrgrated traditional Chinese and Western medicine(Zhong-Xiyi Jiehe Huli ) >高龄胆总管结石患者内镜下胰胆管造影取石术的疗效及围手术期护理
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高龄胆总管结石患者内镜下胰胆管造影取石术的疗效及围手术期护理

机译:高龄胆总管结石患者内镜下胰胆管造影取石术的疗效及围手术期护理

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Abstract:Objective To investigate the perioperative nursing care of elderly patients with common bile duct stones treated by endoscopic retrograde cholangiopancreatography(ERCP). Methods A retrospective analysis with 124 patients aged equal to or more than 60 years old patients with common bile duct stones treated by ERCP was conducted. According to the age, 83 cases aged equal to or more than 70 years old were assigned to senile group, and another 41 cases of age between 60 and 69 years old were assigned to the non-senile group. The success rate of treatment, one-time success rate and incidence of complication were compared between two groups. Results The success rate of treatment was 98.8%(82/83)in senile group and was 97.6%(40/ 41)in the non-senile group, with no significant difference(P0.05). the one-time success rate was 91.6%(76/83)in the senile group and was96.7%(40/41)in the non-senile group, with no significant difference(P0.05). The incidence of postoperative complication was 30.1%(25/83)in the senile group and was 46.3%(19 / 41)in the non- senile group, with no significant difference(P0.05). Conclusion ERCP is safe and effective for elderly patients with common bile duct stones. Adequate preoperative evaluation, accurate intraoperative coordination, strict postoperative observation and nursing care on complications are necessary issues for the success of operation and postoperative rehabilitation.
机译:摘要:目的探讨内镜逆行胰胆管造影(ERCP)治疗老年胆总管结石的围手术期护理。方法对124例年龄等于或大于60岁的胆总管结石接受ERCP治疗的患者进行回顾性分析。根据年龄,将83岁等于或大于70岁的病例归为老年组,另外41例年龄在60至69岁之间的病例归为非老年组。比较两组的治疗成功率,一次性成功率和并发症发生率。结果老年组治疗成功率为98.8%(82/83),非老年组为97.6%(40/41),差异无统计学意义(P> 0.05)。老年组一次性成功率为91.6%(76/83),非老年组一次性成功率为96.7%(40/41),差异无统计学意义(P> 0.05)。老年组术后并发症发生率为30.1%(25/83),非老年组为46.3%(19/41),差异无统计学意义(P> 0.05)。结论ERCP对老年胆总管结石患者安全有效。充分的术前评估,准确的术中协调,严格的术后观察和并发症的护理是成功手术和术后康复的必要问题。

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