摘要
目的探讨T管引流与鼻胆管引流术后住院生活质量的比较分析。方法选取我科2016年3月~2019年3月收治的胆道手术患者60例,根据手术方式将患者设计为T管组:腹腔镜下胆总管切开取石+T管引流(LCBDE);鼻胆管组:腹腔镜胆总管探查+一期缝合+鼻胆管引流术(LCBDE+PS++ENBD)。比较两组患者住院过程、术后生活质量以及满意度。结果鼻胆管组拔管时间及住院时间明显低于T管组(P<0.01),术后生活质量得到明显改善(P<0.05),患者的满意度明显升高(P<0.05)。结论鼻胆管代替T管,保持Oddis括约肌功能,缩短患者带管时间,缩短住院时间(P<0.01),提高满意度,符合微创及加速康复外科的理念,利于患者早日康复,提高术后住院生活质量。
Objective To investigate the effect of laparoscopic common bile duct exploration T-tube drainage and nasobiliary duct drainage on the rehabilitation of patients.Methods Sixty patients with biliary tract surgery admitted to our department from March 2016 to March 2019 were selected and divided into T-tube group:laparoscopic choledocholithotomy+T-tube drainage(LCBDE)and nasobiliary duct group:laparoscopic common bile duct exploration+primary suture+nasobiliary duct.Drainage(LCBDE+ENBD)was used to compare the hospitalization process,quality of life and satisfaction of the two groups.Results The extubation time and hospitalization time of nasobiliary duct group were significantly lower than those of T tube group(P<0.01).The quality of life after operation was significantly improved(P<0.05),and the patients’satisfaction was significantly increased(P<0.05).Conclusions Nasobiliary duct replaces T-tube,maintains Oddis sphincter function,shortens the time of taking tube,shortens hospitalization time(P<0.01),improves satisfaction,conforms to the concept of minimally invasive and accelerated rehabilitation surgery,and is conducive to early recovery of patients.
作者
宋炎萍
王新兰
李海霞
SONG Yan-ping;WANG Xin-lan;LI Hai-xia(Taizhou People's Hospital,Taizhou Jiangsu 225300,China)
出处
《泰州职业技术学院学报》
2019年第5期60-62,共3页
Journal of Taizhou Polytechnic College
作者简介
宋炎萍(1980-),女,江苏靖江人,副主任护师.
