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目的:探究腹腔镜胆囊切除术后胆漏的有效护理方法。方法:2010年4月-2016年8月间进入我院行腹腔镜胆囊切除术后发生胆漏的患者18例,采取引流管护理、腹部体征监护、心理护理、发热护理、饮食护理、健康宣教等综合护理措施,对护理有效率和患者满意率进行统计。结果:护理后无效1例(5.55%),有效5例(27.78%),显效12例(66.67%),护理有效共17例(94.45%);患者对护理工作不满意的2例(11.11%),部分满意3例(16.67%),满意13例(72.22%),满意率为88.89%。结论:术后严密监测,保持引流管路畅通,妥善处理并发症,积极进行心理干预,合理膳食,做好患者的健康宣教工作,可有效促进胆漏患者康复。
Objective: To explore an effective nursing method of bile leakage after laparoscopic cholecystectomy. Methods: From April 2010 to August 2016, 18 cases of bile leakage occurred after laparoscopic cholecystectomy in our hospital. Drainage tube care, abdominal physical monitoring, psychological nursing, fever nursing, diet nursing, health education And other comprehensive care measures, the nursing efficiency and patient satisfaction rate statistics. Results: 1 case (5.55%) was ineffective after nursing, 5 cases (27.78%) were effective, 12 cases (66.67%) were effective and 17 cases (94.45%) were effective nursing care; 2 cases were not satisfied with the nursing work (11.11% ), Partially satisfied in 3 cases (16.67%), satisfactory in 13 cases (72.22%), the satisfaction rate was 88.89%. CONCLUSIONS: Close monitoring after operation, keeping drainage lines open, properly handling complications, actively intervene psychologically, rationally taking diet, and doing well in patient’s missionary work can effectively promote the recovery of patients with bile leakage.