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目的分析围术期护理干预对腹腔镜联合胆道镜治疗老年胆囊结石合并胆总管结石患者的积极影响。方法选取2015年3月~2016年12月106例老年胆囊结石合并胆总管结石患者,随机分组,对照组(n=53)给予一般护理模式,观察组(n=50)实施围手术期全面护理干预,比较两组患者临床护理效果。结果观察组手术时间、肛门排气时间、住院时间均低于对照组(P<0.05);观察组术后并发症发生率为3.77%,对照组为16.98%,组间差异显著(P<0.05);观察组患者各项就诊满意度评分均高于对照组(P<0.05)。结论围手术期全面护理效果显著,能够明显提高双镜联合治疗效果,并减少老年胆囊结石患者术后并发症。
Objective To analyze the positive impact of perioperative nursing intervention on laparoscopic combined choledochoscopy in the treatment of elderly patients with cholecystolithiasis and choledocholithiasis. Methods A total of 106 elderly patients with cholecystolithiasis and choledocholithiasis from March 2015 to December 2016 were randomly divided into control group (n = 53) and general anesthesia group (n = 53). The observation group (n = 50) Intervention, the clinical efficacy of the two groups were compared. Results The operation time, anus exhaust time and hospital stay in the observation group were lower than those in the control group (P <0.05). The incidence of postoperative complications was 3.77% in the observation group and 16.98% in the control group (P <0.05) ). The satisfaction scores of all the patients in the observation group were higher than that of the control group (P <0.05). Conclusion The comprehensive nursing effect is significant during perioperative period, which can obviously improve the effect of double mirror combined treatment and reduce the postoperative complications of elderly patients with gallstone.