摘要
目的总结21例晚期卵巢癌合并急性肠梗阻患者应用经鼻肠梗阻导管治疗与护理的效果,并采用适宜的护理措施,减少患者的不适反应,从而改善患者的生存质量。方法对21例晚期卵巢癌合并急性肠梗阻患者经鼻置入肠梗阻导管,观察其梗阻症状的缓解情况,并提出适宜的护理措施。结果所有患者均成功置管,平均置管时间(12.95±3.01)d,置管期间通过有效的护理措施,无导管相关并发症和导管意外发生,18例患者显效,患者恶心、呕吐、腹痛、腹胀等梗阻症状缓解;1例患者无效,患者在置管3周后症状缓解不明显,行妇科晚期减瘤术加肠粘连松解术;2例患者放弃进一步治疗,自动出院。结论对于晚期卵巢癌合并急性肠梗阻患者,经鼻肠梗阻导管有助于缓解梗阻情况,并通过恰当的护理措施,可有效提高其生存质量。
Objective To summarize the effect of treatment and nursing of transnasal intestinal obstruction catheter in 21 patients with advanced ovarian cancer complicated with acute intestinal obstruction, and to improve the quality of life of patients by adopting appropriate nursing measures and reducing the patient＇s discomfort reaction. Methods A total of 21 patients with advanced ovarian cancer complicated with acute intestinal obstruction were treated with transnasal intestinal obstruction catheter. The relief of obstructive symptoms was observed and appropriate nursing measures were put forward. Results The catheter was successfully placed in all patients, with an average catheterization time of （12.95±3.01） days. No catheter-related complications and catheter accident occurred,through effective care measures during the catheterization period. There was effect in 18 patients. And the vomiting, abdominal pain and ob- struction symptoms such as abdominal pain, abdominal distension in patients were relived. 1 patient was invalid. The patient was not obviously relived at 3 weeks after catheterization, and underwent gynecological late cytoreductive surgery combined with enterolysis. 2 patients gave up further treatment and were automatically discharged. Conclusion For patients with advanced ovarian cancer complicated with acute intestinal obstruction, transnasal intestinal obstruction catheter can help to relieve obstruction, and can effectively improve the quality of life through appropriate nursing measures.
出处
《中国现代医生》
2017年第35期144-147,共4页
China Modern Doctor
基金
浙江省医药卫生科研基金项目(2017KY248)
关键词
经鼻肠梗阻导管
晚期卵巢癌
急性肠梗阻
护理
Transnasal intestinal obstruction catheter
Advanced ovarian cancer
Acute intestinal obstruction
Nursing
