Discussion on key points of nursing observation for complications after ERCP in choledocholithiasis
胆总管结石ERCP术后并发症的护理观察要点探讨

摘要

目的 探讨胆总管结石经内镜逆行胰胆管造影（ERCP）术后并发症的护理观察要点。方法 选取2024年6月到2025年6月期间我院肝胆外科收治的40例胆总管结石行ERCP术患者作为研究对象，采用随机数字表法分为对照组和实验组，每组各20例。对照组实施常规护理，实验组在常规护理基础上实施针对性护理观察干预。结果 实验组术后并发症发生率显著低于对照组（P＜0.05）；实验组住院时间显著短于对照组（P＜0.05）；实验组护理满意度显著高于对照组（P＜0.05）。结论 对胆总管结石ERCP术后患者实施针对性护理观察干预，可有效降低并发症发生率，缩短住院时间，提高护理满意度，其核心在于强化术后胰胆功能监测、精准识别高危因素及实施个体化康复指导，值得临床推广应用。

Abstract

Objective To explore the key points of nursing observation for complications after endoscopic retrograde cholangiopancreatography(ERCP)in patients with choledocholithiasis.
Methods This study enrolled 40 patients with common bile duct stones who underwent ERCP procedures at our hospital's Hepatobiliary Surgery Department between June 2024 and June 2025. Using a randomized digital table method, the patients were divided into two groups: 20 in the control group receiving standard care, and 20 in the experimental group receiving targeted nursing observation interventions supplemented with routine care.
Results The incidence of postoperative complications in the experimental group was significantly lower than that in the control group(P<0.05); the length of hospital stay in the experimental group was significantly shorter than that in the control group(P<0.05); the nursing satisfaction in the experimental group was significantly higher than that in the control group(P<0.05).
Conclusion   Implementing targeted nursing observation intervention for patients with choledocholithiasis after ERCP can effectively reduce the incidence of complications, shorten the length of hospital stay, and improve nursing satisfaction. Its core lies in strengthening the monitoring of postoperative pancreatic and biliary functions, accurately identifying high-risk factors, and implementing individualized rehabilitation guidance, which is worthy of clinical promotion and application.