Effect of bundled intervention measures on early infections after intrabiliary stent implantation via PTCD in patients with malignant biliary obstruction
10.11816/cn.ni.2025-241503
- VernacularTitle:集束化干预措施对恶性胆道梗阻PTCD途径下胆道内支架植入术后早期感染的效果
- Author:
Xiufang HE
1
;
Ruixiang LIN
Author Information
1. 福建中医药大学护理学院,福建 福州 350122
- Publication Type:Journal Article
- Keywords:
Bundled intervention;
Percutaneous transhepatic cholangial drainage;
Intrabiliary stent implantation;
Postoperative infection;
Malignant biliary obstruction
- From:
Chinese Journal of Nosocomiology
2025;35(11):1724-1728
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE To explore the effect of bundled intervention measures on early infections in patients with malignant biliary obstruction(MBO)after intrabiliary stent implantation under the percutaneous transhepatic cholangial drainage(PTCD)route.METHOD Through convenience sampling method,37 patients with MBO ad-mitted to the First Affiliated Hospital of Fujian Medical University from Jan.2020 to Dec.2021 who received in-trabiliary stent implantation under the PTCD route were selected as the control group,43 patients admitted to the hospital from Jan.2022 to Dec.2023 who received the same procedure were selected as the study group,the control group received conventional infection prevention measures during the perioperative period,the study group added bundled inter-vention measures on this basis,and the postoperative infection status,white blood cell counts,C-reactive protein,and lowering levels of the two groups of patients.procalcitonin,blood amylase,blood lipase levels,hospitalization days and hospitalization costs between the two groups were compared.RESULTS The infection rate of the study group was 9.30％(4/43),lower than that of the control group(P=0.005).White blood cell counts,C-reactive protein,procalcitonin,blood amylase and blood lipase were elevated in both groups of patients on the first postoperative day,while the above in-dicators decreased in both groups of patients on the third postoperative day,with the study group lower than the control group.The hospitalization days in the study group was(7.33±2.55)days,lower than that in the control group(P＜0.001),the hospitalization cost of the study group was(20.32±3.70)thousand yuan,lower than that of the control group(P＜0.001).CONCLUSION Perioperative bundled measures can effectively reduce the risk of early infections in the patients with MBO after intrabiliary stent implantation under the PTCD route,decrease the occurrence of complications,shorten the length of hospital stay and reduce hospitalization costs.
