Study on nursing early warning and intervention for delayed postoperative bleeding in pancreaticoduodenal surgery
肝胆外科胰十二指肠术后迟发性出血的护理预警及干预研究

摘要

目的 构建胰十二指肠术后迟发性出血的护理预警体系并探讨针对性干预措施。方法 选取2025年1月至12月收治的35例胰十二指肠手术患者为研究对象，采用随机数字表法分为对照组17例与实验组18例。对照组实施肝胆外科术后常规护理，实验组在常规护理基础上应用个性化护理预警干预。对比两组患者迟发性出血发生率、出血发现时间及术后住院天数。结果 实验组迟发性出血发生率低于对照组，出血发现时间早于对照组，术后住院天数短于对照组，差异均有统计学意义（P＜0.05）。结论 护理预警干预可早期识别胰十二指肠术后迟发性出血风险，降低出血发生率、缩短出血发现时间及住院周期，为临床术后护理提供循证支撑。

Abstract

Objective To establish a nursing early warning system for delayed postoperative bleeding in pancreaticoduodenal surgery and explore targeted intervention measures.
Methods A total of 35 patients undergoing pancreaticoduodenal surgery admitted from January to December 2025 were selected as the study subjects and randomly divided into a control group (n=17) and an experimental group (n=18) using a random number table. The control group received routine nursing care for postoperative hepatobiliary surgery, while the experimental group received personalized nursing early warning intervention in addition to routine care. The incidence of delayed bleeding, time to bleeding detection, and postoperative hospitalization duration were compared between the two groups.
Results The experimental group exhibited a lower incidence of delayed bleeding, earlier detection time of bleeding, and shorter postoperative hospitalization duration compared to the control group, with all differences being statistically significant(P<0.05).
Conclusion   Nursing early warning intervention can effectively identify the risk of delayed postoperative bleeding in pancreaticoduodenal surgery, reduce the incidence of bleeding, shorten the time to bleeding detection, and shorten the hospitalization period, providing evidence-based support for clinical postoperative care.