恶性梗阻性黄疸患者ERCP术后并发急性胆囊炎的危险因素分析及护理干预

目的探讨恶性梗阻性黄疸患者经内镜逆行性胰胆管造影术(ERCP)术后并发急性胆囊炎的危险因素及护理干预策略。方法选取2016年1月至2019年6月我院收治的恶性梗阻性黄疸进行ERCP手术患者76例,其中并发急性胆囊炎16例,采用单因素和多因素logistic回归分析导致恶性梗阻性黄疸患者ERCP术后并发急性胆囊炎的危险因素。结果单因素分析结果表明,年龄、合并糖尿病、合并高血压、ERCP既往史、操作时间≥30 min是影响恶性梗阻性黄疸患者ERCP术后并发急性胆囊的危险因素(P<0.05);多因素logistic回归分析表明,年龄、ERCP既往病史是恶性梗阻性黄疸患者ERCP术后急性胆囊炎的独立危险因素(P<0.05)。结论导致恶性梗阻性黄疸患者ERCP术后并发急性胆囊炎的危险因素为年龄、ERCP的既往史,虽然其他因素不是术后发生急性胆囊炎的独立危险因素,但是采取一定的护理干预有助于减少术后急性胆囊炎的发生率。

Analysis of risk factors for patients with malignant obstructive jaundice undergoing concurrent acute cholecystitis after ERCP surgery and its nursing intervention

Objective To explore the risk factors for patients with malignant obstructive jaundice undergoing concurrent acute cholecystitis after endoscopic retrograde cholangiopancreatography(ERCP)surgery and its nursing intervention strategy.Methods To select 76 cases of patients with malignant obstructive jaundice undergoing ERCP surgery who were treated in our hospital from January 2016 to June 2019,including 16 cases of patients with acute cholecystitis.Univariate and multivariate logistic regression analysis was used to analyze the risk factors leading to acute cholecystitis after ERCP surgery in patients with malignant obstructive jaundice.Results Univariate analysis showed that the age,concurrent diabetes mellitus,concurrent hypertension,previous history of ERCP,and operation time≥30 min were the risk factors for acute cholecystitis after ERCP surgery of malignant obstructive jaundice(P<0.05).Multivariate logistic regression analysis showed that the age and previous history of ERCP were the independent risk factors for acute cholecystitis after ERCP surgery of malignant obstructive jaundice(P<0.05).Conclusion The age and previous history of ERCP were the risk factors for acute cholecystitis after ERCP surgery of malignant obstructive jaundice,although other factors were not the independent risk factors for acute cholecystitis after surgery,but certain nursing interventions should be taken to help reduce the incidence of postoperative acute cholecystitis.