Comparative study of nursing points between nasogastric-tubing bile reinfusion and jejunal-fistula-tubing bile reinfusion

doi:10.3877/cma.j.issn.1674-0793.2011.01.022

Abstract

Abstract:

Purpose

To investigate the different nursing points and strategies by evaluating the postoperative status of patients in two different ways of bile reinfusion.

Methods

Forty-nine choledocholith patients were divided to nasogastric-tube group (nineteen cases) and jejunal-fistula-tube group (thirty cases). the fever time, first-flatus time, uncomfortable status, diarrhea and tube obstruction status between the two groups were recorded.

Results

The jejunal-fistula-tube group had longer fever time compare with the nasogastric-tube group, the nasogastric-tube group had higher portion in uncomfortable and tube obstruction, there was no difference in first-flatus time and diarrhea between the two groups;

Conclusion

Besides performing the careful procedures of bile reinfusion, we should focus on nursing points adjustment according to status in different bile reinfusion ways.

Key words: Bile reinfusion, Nursing care, Postoperative observation

Xiao-lan RU, Gui-chan CHEN, Min-hua ZHONG, Yan LI. Comparative study of nursing points between nasogastric-tubing bile reinfusion and jejunal-fistula-tubing bile reinfusion[J]. Chinese Archives of General Surgery(Electronic Edition), 2011, 05(01): 78-80.

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URL: https://zhptwkxwx.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-0793.2011.01.022

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组别	例数	发热时间（d）	首次肛门	主诉不适（例）		腹泻（例）		回输管堵塞（例）
组别	例数	发热时间（d）	排气时间（h）	有	无	有	无	有	无
鼻肠管组	19	2±0.32	38±13.31	9	10	4	15	6	13
造瘘管组	30	3±0.59	41±21.47	6	24	6	24	2	28
t/χ²值	?	-1.876	-2.008	χ²=4.102	?	χ²=0.008	?	?	?
P值	?	<0.05	<0.05	<0.05	?	?	?	<0.05^*	?

组别	例数	发热时间（d）	首次肛门	主诉不适（例）		腹泻（例）		回输管堵塞（例）
组别	例数	发热时间（d）	排气时间（h）	有	无	有	无	有	无
鼻肠管组	19	2±0.32	38±13.31	9	10	4	15	6	13
造瘘管组	30	3±0.59	41±21.47	6	24	6	24	2	28
t/χ²值	?	-1.876	-2.008	χ²=4.102	?	χ²=0.008	?	?	?
P值	?	<0.05	<0.05	<0.05	?	?	?	<0.05^*	?

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