磁压榨胆肠吻合术规范化护理的研究

Nursing Supervision in Choledochojejunostomy with Magnetic Compression

摘要: 目的：探讨磁压榨胆肠吻合术规范化的围手术期专科护理要点，指导护士科学全面的管理患者，提高护理效果，为提高手术疗效提供参考。方法：通过对13例磁压榨胆肠吻合术患者术前病情的详细评估、有效的沟通告知及专科的术前准备，术后细致的病情观察、特殊的营养管理及磁环观察的方法、并发症胆瘘的护理等围手术期的优质护理，总结磁压榨胆肠吻合术规范化的专科护理要点。结果：本组13例磁压榨胆肠吻合术患者，术前无护理并发症，愿意接受磁压榨胆肠吻合新技术，术后2例患者出现胆瘘，经规范引流、营养支持、精心护理等及时处理措施，患者顺利康复出院，13例患者术后均无护理并发症的发生。结论：磁压榨胆肠吻合术目前国内尚无同类技术的开展，围手术期规范化的专科护理是提高手术疗效、护理质量、患者术后生活质量的有效措施。

Abstract: Objective: Up to now, choledochojejunostomy with magnetic compression has not been reported in China. The present study was to investigate clinical experience of nursing supervision in chole-dochojejunostomy with magnetic compression skills. Methods: 13 patients accepted magnetic compression anastomosis of choledochojejunostomy in our institute. Clinical experiences of nursing supervision were recorded and discussed. Results: There were no nursing complications preoperatively and postoperatively. Biliary fistula occurred in two cases after surgery, but was treated successfully with abdominal tube drainage, nutritional support and careful nursing care. Conclusion: Magnetic compression was safe and effective in choledochojejunostomy. Perioperative nursing was important to detect possible complication earlier and accelerate recovery after surgery.