摘要
目的研究内镜下球囊扩张与支架置入术治疗食管癌患者的治疗方法,并总结其提高患者生活质量的护理措施。方法选择本院2016年3 月—2018 年3 月期间所收治的150 例食道癌患者作为本次研究对象,所有患者均采取内镜下球囊扩张与支架置入术治疗,治疗后对患者进行护理措施,主要包括:手术前健康宣传教育、心理护理措施,指导患者在手术中配合医生;手术中观察患者的反应,协助配合,手术后对患者的生命体征进行监测,观察其是否存在感染、穿孔或是出血等并发症情况;对患者进行出院指导,帮助患者树立正确的饮食观念与休息,定期对患者进行随访,做好手术前、手术中、手术后以及出院的指导,以此保证患者手术成功,总结患者支架植入情况。结果150 例患者分别每3 个月到半年不等进行复诊,采取上消化道内镜检查和钡餐造影诊断。首次支架置入成功率为97.33%,手术后患者均用半流质饮食,患者的吞咽症状均得到缓解,无食管穿孔或是上消化道出血等症状发生。结论食管癌患者应用手术治疗的创伤小、恢复快,安全性高,对食管癌手术患者应用有效护理措施,能够缓解症状,还能够防止患者使用覆膜支架造成吸入性肺炎的发生,一定程度提高了患者的生存质量,值得临床应用探索。
Objective To study the therapeutic methods of endoscopic balloon dilatation and stenting in patients with esophageal cancer, and summarize the nursing measures to improve the quality of life of patients. Methods 150 patients with esophageal cancer admitted to our hospital from March 2016 to March 2018 were selected as the research object. All patients were treated with endoscopic balloon expansion and carotid stenting and the nursing measures for patients after treatment, mainly includes: preoperative health propaganda and education, psychological nursing, guiding patients cooperate with the doctor in surgery. During the operation, the reaction of the patients was observed and assisted, and the vital signs of the patients were monitored after the operation to observe whether there were complications such as infection, perforation or hemorrhage. To guide patients to leave the hospital, help patients to set up correct dietary concepts and rest, follow up the patients regularly, and do the guidance before, during, after and after the operation, so as to ensure the success of the surgery, to summarize the stent implantation status of patients. Results 150 patients were revisited every 3 months to 6 months, respectively, with upper gastrointestinal endoscopy and barium meal examination. The success rate of the first stent implantation was 97.33%. After the operation, all the patients were treated with semi-liquid diet, and the swallowing symptoms were relieved without esophageal perforation or upper gastrointestinal bleeding. Conclusion Patients with esophageal cancer have small trauma,rapid recovery and high safety after surgical treatment. Effective nursing measures are applied to patients with esophageal cancer, which can alleviate symptoms and prevent the occurrence of aspiration pneumonia caused by the use of covered stent. Therefore, the quality of life of patients is improved to some extent.
作者
刘春燕
吴娟
吴惠娟
顿珊珊
LIU Chunyan;WU Juan;WU Huijuan;DUN Shanshan(Department ofGastroenterology, Third People's Hospital of Hubei Province, Wuhan Hubei430033, China)
出处
《中国继续医学教育》
2019年第25期177-178,共2页
China Continuing Medical Education
关键词
食道癌
内镜下球囊扩张术
支架置入术
护理
健康宣教
膳食
esophageal cancer
endoscopic balloon dilatation
stenting
nursing
health education
dietary
