循证护理对肝内胆管结石肝切除术后并发症的护理效果

循证护理对肝内胆管结石肝切除术后并发症的护理效果
刘秋香
【期刊名称】《包头医学院学报》
【年(卷),期】2016(032)010
【摘要】目的：：分析循证护理模式对肝内胆管结石肝切除术患者术后并发症的护理效果。

方法：选取2013年3月至2015年12月进行治疗的肝内胆管结石肝切除术患者100例，采用数字随机表法分为对照组和观察组，每组50例，对照组采用常规护理，观察组采用循证护理模式护理，比较两组患者并发症发生率及预后情况。

结果：观察组术后2个月内并发症发生率为10.0%，对照组并发症发生率为30.0%，观察组并发症发生率低于对照组( P <0.05)；术后6个月内，观察组中未出现死亡病例，未出现回院再治疗病例；对照组4例出现严重并发症，再回院治愈，再回院治疗率8.0%，两组差异比较具有统计学意义( P <0.05)。

结论：肝内胆管结石病情复杂，手术治疗难度大，术后较易出现并发症，循证护理可有效降低术后并发症发生率，确保患者获得稳定的手术治疗质量，具有较高的临床价值。

%Objective:To analyze the effect of evidence-based nursing on postoperative complications of hepatectomy in patients with hepatoli-thiasis. Methods:100 cases of hepatectomy for the treatment of hepatolithiasis from March 2013 to December 2015 were selected and divided into control group and observation group, 50 cases in each group. The control group received conventional care and the observation group received evi-dence-based nursing mode, with the incidence rate of complications and prognosis of the two groups compared. Results:The
incidence of compli-cations within two months after surgery in the observation group (10. 0 %) was lower than that of the control group(30.
0 %) ( P﹤0. 05). In 6 months after surgery, no deaths occurred in the observation group, and none returned for re-treatment, while 4 cases in the control group oc-curred with severe complications, the rate of re-treatment 8. 0%, higher than that of the observation group ( P <0. 05). Conclusion:Hepatolith-iasis is very complicated and difficult to treat, and it is prone to postoperative complications. Evidence-based nursing can reduce postoperative complications and ensure stable surgical quality, with high clinical value.
【总页数】2页(P98-99)
【作者】刘秋香
【作者单位】江门市新会人民医院，广东江门529100
【正文语种】中文
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