改良引流技术在ERCP术后鼻胆管引流患者中的应用

目的：分析经十二指肠镜逆行胰胆管造影(ERCP)术后鼻胆管引流患者实施改良引流技术的应用效果。方法将我院2013年2月至2016年2月期间收治的60例行ERCP术需留置鼻胆管患者，按照入院先后顺序分为传统组和改进组，每组30例，传统组实施普通引流袋引流及胃管固定方法，改进组应用负压引流器及改良引流技术，比较两组患者的引流效果、住院天数、费用，以及机体不适症状。结果传统组患者的引流有效率为76.67%，明显低于改进组的93.33%，差异有统计学意义(P<0.05)；传统组患者住院时间为(21.26±1.05) d，改进组为(15.21±2.24) d，改进组时间较长，传统组住院费用为(7826.51±100.34)元，改进组为(6123.45±88.41)元，改进组花费较少，两组比较差异均具有统计学意义(P<0.05)；传统组患者机体不适症状发生率为23.33%，明显高于改进组的3.33%，差异有统计学意义(P<0.05)。结论对于ERCP术后留置鼻胆管引流的患者，对其做好导管护理，改良引流技术，增加负压引流，做好家属的健康宣教工作，大部分患者引流效果较好且住院时间、花费及机体不适症状等均较少。

Application of improved drainage technique in patients with nasal biliary drainage after ERCP

Objective To study the effect of improved drainage technique on the patients with nasal biliary drainage after endoscopic retrograde cholangiopancreatography (ERCP). Methods A total of 60 patients of ERCP sur-gery with indwelling nasal duct, who admitted to our hospital from February 2013 to February 2016, were selected and divided into the traditional group and improvement group according to admission order, with 30 cases in each group. The traditional group was treated with the common drainage bag and tube fixation method, and the improvement group was treated with negative pressure drainage device with improved drainage. The effect of drainage, hospitalization time and cost, as well as the body unwell symptom of the two groups were compared. Results The drainage efficiency of the tra-ditional group was 76.67%, which was significantly lower than 93.33%of the improvement group (P<0.05). The hospi-talization time of the traditional group was (21.26±1.05) d, which was significantly longer than (15.21±2.24) d of the im-provement group;the hospitalization cost of the traditional group was (7 826.51 ± 100.34) yuan, which was significantly more than (6 123.45±88.41) yuan of the improvement group. All the above differences were statistically significant (P<0.05). The body unwell symptom of the traditional group was 23.33%, which was significantly higher than 3.33%of the improvement group (P<0.05). Conclusion For patients with indwelling nasal biliary drainage after ERCP operation, good catheter nursing care, improved drainage techniques, increased negative pressure drainage and good family health education work have better drainage effect, which also can increase the hospitalization time and cost, as well as the body unwell symptom.