Subjects: Nursing >> Nursing submitted time 2023-06-12
Abstract: Objective To compare the efficacy of dual-frequency dual-pulse laser lithotripsy under endoscopic retrograde cholangiopancreatography (ERCP) and traditional endoscopic mechanical lithotripsy in the treatment of patients with common bile duct stones, and summarize perioperative nursing measures. Methods From May 2018 to May 2022, the clinical data of 200 patients with common bile duct stones who underwent ERCP treatment and lithotripsy were retrospectively analyzed, of which 69 patients were treated with dual-frequency dual-pulse laser lithotripsy (Laser group) and 131 patients were treated with mechanical lithotripsy (Mechanical group), and the success rate of stone extraction, operation time, postoperative hospital stay time and complications of two groups of patients were compared. Results There was no significant difference in baseline data such as general conditions and preoperative clinical data between two groups (P>0.05). Neither neither Laser group nor Mechanical group had reported the perioperative death case. There were no significant difference in postoperative bleeding, postoperative pancreatitis and perforation complication rates in the two groups (P>0.05). The surgical time in the Laser group was significantly longer than that in the Mechanical group (P<0.05). The postoperative hospital stay was shorter in the Laser group than that in the Mechanical group(P<0.05), and the total complication rate and stone residue rate were lower in the Laser group than those in the Mechanical group (P<0.05). Conclusion The treatment of common bile duct stones by dual-frequency dual-pulse laser lithotripsy has better efficacy and lower complication rate than traditional surgical mechanical lithotripsy, but there is still room for improvement in the operation time.
Peer Review Status:Awaiting Review
Subjects: Nursing >> Nursing submitted time 2023-06-12
Abstract: This paper summarizes the nursing experience of a patient who received endoscopic variceal ligation in the treatment of esophageal varices, including preoperative psychological care, instrument preparation, patient preparation, intraoperative care, postoperative general care, complication care and other targeted nursing measures. Through the comprehensive nursing mode, full preoperative preparation, close surgical cooperation, and meticulous postoperative care, the success of esophageal variceal ligation was guaranteed, the pain of patients was reduced, the patient''s symptoms were improved.
Peer Review Status:Awaiting Review
Subjects: Nursing >> Nursing submitted time 2023-01-17
Abstract: This paper summarizes the nursing experience of gastrointestinal endoscopy in an elderly patient without intubation general anesthesia, including the indications and contraindications of painless gastrointestinal endoscopy, preoperative psychological care, instrument preparation, dietary care, intraoperative nursing cooperation, postoperative nursing and other targeted nursing measures. Through the comprehensive nursing mode, full preoperative preparation, close surgical cooperation, and meticulous postoperative care ensure the success of gastrointestinal endoscopy for elderly patients without intubation under general anesthesia, reduce patient pain, improve patient diseases, and improve the diagnosis and treatment effect and nursing satisfaction of patients with digestive tract diseases.
Peer Review Status:Awaiting Review
Subjects: Nursing >> Nursing submitted time 2022-10-21
Abstract: This paper summarizes the nursing experience of a case of endoscopic six-ring lassus in the treatment of patients with esophageal varices, including preoperative psychological care, instrument preparation, patient preparation, intraoperative care, postoperative general care, complication care and other targeted nursing measures. Through the comprehensive nursing mode, full preoperative preparation, close surgical cooperation, and meticulous postoperative care, the success of esophageal variceal ligation is guaranteed, the pain of patients is reduced, the patient""s symptoms are improved, and their recovery is promoted.
Subjects: Nursing >> Nursing submitted time 2022-10-21
Abstract: In this paper, we summarize the nursing experience of a patient with colonic broad-basal adenomatous endoscopic mucosectomy, including preoperative psychological care, instrument preparation, patient preparation, intraoperative nursing, postoperative nursing and other targeted nursing measures. Through the comprehensive nursing mode of full preoperative preparation, close surgical cooperation, and meticulous postoperative care, the success of colon adenomatous polyposis endoscopic mucosectomy is guaranteed, reducing patient pain, improving patient diseases, and promoting their recovery.
Subjects: Nursing >> Nursing submitted time 2022-10-21
Abstract: This paper summarizes the nursing experience of a patient diagnosed with biliary stenosis under SpyGlass under ERCP, including preoperative psychological care, instrument preparation, patient preparation, intraoperative nursing, postoperative general nursing, complication nursing and other targeted nursing measures. Through the comprehensive nursing model, full preoperative preparation, close surgical cooperation, and meticulous postoperative care ensure the success of SpyGlass diagnosis of biliary stenosis under ERCP, reduce patient pain, improve patient diseases, and promote their recovery.
Subjects: Nursing >> Nursing submitted time 2022-09-06
Abstract:
Objective To compare the efficacy of dual-frequency dual-pulse laser lithotripsy under ERCP and traditional endoscopic mechanical lithotripsy in the treatment of patients with common bile duct stones. Methods From May 2018 to May 2022, the clinical data of 200 patients with common bile duct stones who underwent ERCP treatment and lithotripsy at the Digestive Endoscopy Center of Dongfang Hospital of Beijing University of Traditional Chinese Medicine were retrospectively analyzed, of which 69 patients were treated with dual-frequency dual-pulse laser lithotripsy (laser group) and 131 patients were treated with mechanical lithotripsy (mechanical group), and the success rate of stone extraction, operation time, postoperative hospital stay time and complications of 2 groups of patients were compared. Results The baseline data such as general conditions and preoperative clinical data of the two groups were basically the same (P>0.05). There were no significant differences in postoperative bleeding, postoperative pancreatitis and perforation complication rates in the two groups (P>0.05). The surgical time in the laser group was significantly longer than that in the mechanical group (P<0.05), the postoperative hospital stay was shorter (P<0.05), and the total complication rate and stone residue rate were lower (P<0.05). Conclusion The treatment of common bile duct stones by dual-frequency dual-pulse laser lithotripsy has better efficacy and lower complication rate than traditional surgical mechanical lithotripsy, but there is still room for improvement in the operation time.