Observation of preventive effect of high quality nursing on postoperative complications of ERCP in elderly patients with common duct stones
优质护理对老年胆总管结石患者ERCP术后并发症预防效果观察

摘要

目的 探析在使用ERCP手术治疗的老年胆总管结石（CBD）患者中应用优质护理对预防并发症的效果。方法 选取本院2020.3-2021.3收治的老年CBD患者（均采取ERCP术治疗）62例，通过随机分组为参考组（31例，常规手术护理）和观察组（31例，常规+优质护理）。比较两组术后康复相关指标，以及患者术后第1、2、5天的疼痛情况，观察两组的并发症发生情况。结果 观察组术后患者首次下床、排气用时和总住院用时均少于参考组，且患者术后第1天、第2天、第5天的VAS评分均比参考组更低，患者发生术后并发症的情况比参考组更少，对比结果均为（P＜0.05）。结论 对采取ERCP手术治疗CBD的老年患者采用优质护理模式能够促进患者恢复，缓解术后疼痛感，并预防并发症风险。

Abstract

Objective To explore the effect of high quality nursing on the prevention of complications in elderly patients with choledocholithiasis (CBD) treated with ERCP.
Methods A total of 62 elderly CBD patients (all of whom were treated with ERCP) admitted to our hospital from March 2020.3 to March 2021.3 were randomly divided into reference group (31 cases, conventional surgical care) and observation group (31 cases, conventional + high-quality care). The postoperative rehabilitation indexes and the pain of patients on the first, second and fifth days after surgery were compared between the two groups, and the occurrence of complications was observed.
Results The first time patients got out of bed, exhaust time and total hospital stay in observation group were lower than those in reference group, and the VAS scores of patients on day 1, day 2 and day 5 after surgery were lower than those in reference group, and the incidence of postoperative complications was less than that in reference group, the comparison results were all (P < 0.05).
Conclusion   The use of high-quality nursing model for elderly patients undergoing ERCP surgery for CBD can promote patient recovery, relieve postoperative pain, and prevent the risk of complications.