胃排水管在胆病中的标准化护理过程的应用效果:单中心回顾性队列研究
Wenhui Shi1, Yan Huang1, Zipeng Xu1
1Department of General Surgery, Xishan People's Hospital of Wuxi City, Wuxi, 214105, China.
BMC gastroenterology
|April 14, 2025
概括
laparoscopic胆囊切除术 (LC) 后腹部排水管的标准化护理过程 (SNP) 显著减少了手术后的疼痛,并改善了患者的流动性. 此外,SNP还减少了排水管并发症,并提高了患者的满意度.
科学领域:
- 医学科学 医学科学 医学科学
- 手术护理 医疗护理
- 胃肠病学 胃肠病学
背景情况:
- 在胆病治疗后,腹部排水管是常见的,但可能导致并发症.
- 没有标准化护理过程 (SNP) 存在于腹部排水管后拉皮镜胆囊切除术 (LC).
- 这项研究评估了SNP的有效性和可行性,用于LLC后胆病患者的腹部排水管.
研究的目的:
- 评估用于腹部排水管的标准化护理过程 (SNP) 的临床有效性.
- 确定SNP在经过拉皮镜胆囊切除术 (LC) 的胆病患者中实施SNP的可行性.
- 为了比较接受SNP和接受标准护理的患者之间的结果.
主要方法:
- 从2023年1月到2024年8月,对264名胆病患者进行了回顾性研究.
- 患者分为标准化护理过程 (SNP) 和非SNP组.
- 用于确定与SNP有效性相关的因素的单变量和多变量分析.
主要成果:
- SNP与手术后疼痛的减少 (OR=0.22) 和早期动员的增加 (OR=2.28) 有关.
- SNP显著降低了排水管出口和输出管后泄漏的发生率.
- 在SNP组中,患者满意度显著更高 (p<0.001).
结论:
- SNP的实施改善了LC后的早期出行.
- SNP 减少了与排水管相关的泄漏的发生.
- 治疗SNP导致手术后疼痛减少,患者满意度提高.
相关概念视频
Endoscopic Procedures V: ERCP
40
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...
40
Endoscopic Studies II: Thoracocentesis
178
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
178
Appendicitis-II: Diagnostic Studies and Management
52
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
52
Endoscopic Studies I: Bronchoscopy and Thoracoscopy
146
Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
146
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
31
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
31
Esophageal Varices-II: Clinical Features and Management
27
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
27


