国际护理学杂志
國際護理學雜誌
국제호이학잡지
INTERNATIONAL JOURNAL OF NURSING
2010年
2期
302-304
,共3页
内镜%扩张置管术%难治性食管狭窄%难治性食管瘘%护理
內鏡%擴張置管術%難治性食管狹窄%難治性食管瘺%護理
내경%확장치관술%난치성식관협착%난치성식관루%호리
Endoscope%Endoprosthesis%Intractable esophageal stenosis%Intractable esophageal fistula%Nursing
目的 探讨内镜下扩张置管术治疗难治性食管狭窄和瘘的临床护理.方法 对难治性食管狭窄和瘘的病人在内镜下扩张和置入记忆合金支架.结果 62例狭窄患者狭窄处直径术后由(4.0±1.5)mm增至(18.5±1.1)mm(P＜O.01);吞咽困难由(2.78±O.42)级改善为(0.94±0.73)级(P＜0.01);24例食管瘘患者均成功置入支架,食管瘘全部闭合,病人吞咽困难及呛咳症状消失,恢复经口进食.结论 根据难治性食管狭窄和瘘的特点,采取适宜的护理措施,可取得较好的临床疗效.
目的 探討內鏡下擴張置管術治療難治性食管狹窄和瘺的臨床護理.方法 對難治性食管狹窄和瘺的病人在內鏡下擴張和置入記憶閤金支架.結果 62例狹窄患者狹窄處直徑術後由(4.0±1.5)mm增至(18.5±1.1)mm(P＜O.01);吞嚥睏難由(2.78±O.42)級改善為(0.94±0.73)級(P＜0.01);24例食管瘺患者均成功置入支架,食管瘺全部閉閤,病人吞嚥睏難及嗆咳癥狀消失,恢複經口進食.結論 根據難治性食管狹窄和瘺的特點,採取適宜的護理措施,可取得較好的臨床療效.
목적 탐토내경하확장치관술치료난치성식관협착화루적림상호리.방법 대난치성식관협착화루적병인재내경하확장화치입기억합금지가.결과 62례협착환자협착처직경술후유(4.0±1.5)mm증지(18.5±1.1)mm(P＜O.01);탄인곤난유(2.78±O.42)급개선위(0.94±0.73)급(P＜0.01);24례식관루환자균성공치입지가,식관루전부폐합,병인탄인곤난급창해증상소실,회복경구진식.결론 근거난치성식관협착화루적특점,채취괄의적호리조시,가취득교호적림상료효.
Objective To explore the nursing method of intractable esophageal stenosis and esophageal fistula treated by endoprosthesis.Methods Alloy brackets were put into esophagus with the help of endoscope.Results Sixty two patients with intractable esophageal stenosis were treated by endoprosthesis.The diameter of narrow esophagus after operations was increased from (4.0 ± 1.5 ) mm to (18.5 ±1.1 ) mm (P＜0.01 ) .The degree of dysphagia was decreased from 2.78 ± 0.42 to 0.94 ± 0.73 ( P ＜ 0.01 ) .24 patients with infractory esophageal fistula were treated by endoprosthesis successfully.The intractable esophageal fistula were all healed and the symptoms of dysphagia and bucking disappeared.The patients could take food through the mouth.Conclusions It should be to take towardly nursing according to the characteristic of intractable esophageal stenosis and esophageal fistula.By dong this, we can make better clinical curative effect.
