Application and nursing analysis of percutaneous transhepatic gallbladder puncture and catheterization perfusion litholysis therapy
经皮经肝胆囊穿刺置管灌注溶石治疗的应用及护理分析

摘要

目的 经皮经肝胆囊穿刺置管灌注溶石治疗的应用护理措施，分析了具体的护理方法及对治疗的影响。方法 文章选择2023年2月-2024年2月，本院收治的80例胆囊结石患者为研究对象，采用随机数字法分组，每组40例，对照组采取常规护理措施，观察组在对照组基础上采取个性化护理，比较两治疗效果、并发症、住院天数、满意度。结果 相比于对照组，观察组治疗总有效率更好，分别为95%、70%，具有显著统计学差异性意义，（P＜0.05），见表2.1。相比于对照组，观察组治疗总并发症率更低，分别为10%、27.5%，具有显著统计学差异性意义，（P＜0.05），见表2.3。相比于对照组，观察组住院天数更短，分别为6.23±1.34、9.23±1.89，具有显著统计学差异性意义，（P＜0.05），见表2.3。相比于对照组，观察组总满意率更高，分别为92.5%、70%，具有显著统计学差异性意义，（P＜0.05），见表2.3。结论 经皮经肝胆囊穿刺置管灌注溶石治疗的应用及护理细节和内容较多，在常规护理基础上引入个性化护理方案可以明显降低治疗难度和护理压力，使治疗和护理充分的结合在一起，提高治疗效果，提升患者护理满意度，减少并发症，促进患者身体康复，该方案在医学临床中具有较高应用价值，值得广泛推广应用。

Abstract

Objective To analyze the nursing measures of percutaneous transhepatic gallbladder catheterization and stone-melting therapy, and to analyze the specific nursing methods and the influence on the treatment.
Methods In this paper, 80 patients with gallstones admitted to our hospital from February 2023 to February 2024 were selected as research objects, and were divided by random number method, with 40 cases in each group. The control group took routine nursing measures, and the observation group took personalized nursing on the basis of the control group. The effect, complications, length of stay and satisfaction of the two treatments were compared.
Results Compared with the control group, the total effective rate of the observation group was better, 95% and 70%, respectively, with significant statistical difference (P < 0.05), as shown in Table 2.1. Compared with the control group, the total complication rate of the observation group was lower, 10% and 27.5%, respectively, with significant statistical difference (P < 0.05), as shown in Table 2.3. Compared with the control group, the length of hospitalization in the observation group was shorter, 6.23±1.34 and 9.23±1.89, respectively, with significant statistical difference (P < 0.05), as shown in Table 2.3. Compared with the control group, the total satisfaction rate of the observation group was higher, 92.5% and 70%, respectively, with significant statistical difference (P < 0.05), as shown in Table 2.3.
Conclusion   The application and nursing details and contents of percutaneous transhepatic gallbladder puncture and catheterization injection litholysis therapy are numerous. The introduction of personalized nursing program on the basis of routine nursing can significantly reduce the difficulty of treatment and nursing pressure, fully combine treatment and nursing, improve treatment effect, enhance patients' nursing satisfaction, reduce complications, and promote patients' physical rehabilitation. This scheme has high application value in medical clinic and is worthy of widespread application.