Clinical study of negative pressure drainage device and improved drainage technique for nasobiliary drainage after ERCP(PDF)
《中国医学物理学杂志》[ISSN:1005-202X/CN:44-1351/R]
- Issue:
- 2018年第7期
- Page:
- 860-864
- Research Field:
- 医疗新技术
- Publishing date:
Info
- Title:
- Clinical study of negative pressure drainage device and improved drainage technique for nasobiliary drainage after ERCP
- Author(s):
- HAN Yubin; CHEN Jinfeng; CHEN Jianlin; ZHANG Kui; PAN Qianping; CHEN Lihua; LI Ji’an; CHEN Xiaoli
- Department of Digestive Medicine, Foshan Hospital of Traditional Chinese Medicine, Foshan 528000, China
- Keywords:
- ; Keywords: endoscopic retrograde cholangio-pancreatography; negative pressure drainage device; improved drainage technique; nasobiliary drainage
- PACS:
- R608
- DOI:
- DOI:10.3969/j.issn.1005-202X.2018.07.023
- Abstract:
- Abstract: Objective To investigate the clinical value of negative pressure drainage device and improved drainage technique in nasobiliary drainage after endoscopic retrograde cholangio-pancreatography (ERCP). Methods A total of 100 cases of patients receiving ERCP were selected for prospective study and randomly divided into observation group and control group, with 50 cases in each group. The patients in observation group were treated with negative pressure drainage device combined with improved drainage technique, while those in control group received conventional indwelling drainage bag for drainage and conventional drainage care. The daily drainage volume, incidence of catheter occlusion, hospital stay, hospitalization expenses, the total incidence of postoperative complications (including hyperamylasemia, cholangitis, pancreatitis, etc.), adverse reactions and catheter adverse events in the two groups were compared. Results Compared with control group, observation group had significantly larger daily drainage volume (P<0.05). The incidence of catheter occlusion, hospital stay and hospitalization expenses in observation group were significantly lower than those in control group (P<0.05). No statistical significance was found between two groups in the incidence of cholangitis and pancreatitis (P>0.05). The total incidences of hyperamylasemia and complications in observation group were 12.00% and 14.00%, respectively, significantly lower than 28.00% and 40.00% in control group (P<0.05). The total incidence of adverse reactions and catheter adverse events in observation group was 4.00%, significantly lower than 22.00% in control group (P<0.05). Conclusion Negative pressure drainage device for nasobiliary drainage after ERCP can achieve an ideal drainage effect, lower the rate of catheter occlusion, and reduce postoperative complications and adverse reactions. Moreover, the improved drainage technique can further decrease the incidence of catheter falling out and ensure a smooth drainage, which can accelerate recovery and shorten hospital stay.
Last Update: 2018-07-24