中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2012年
33期
4024-4026
,共3页
护理%贲门失弛缓症%经口内镜下食管环形肌切开
護理%賁門失弛緩癥%經口內鏡下食管環形肌切開
호리%분문실이완증%경구내경하식관배형기절개
Nursing%Esophageal achalasia%POEM
目的 探讨经口内为镜下食管环形肌切开(POEM)手术治疗贲门失弛缓症患者(EA)的围手术期护理方法.方法 对21例患者进行术前健康宣教、术后护理、重视并发症的观察以及出院指导等相关环节的护理.结果 21例EA患者均顺利完成POEM术,术后3个月Eckardt评分为(1.8±1.2)分,LES压力为(21.4±8.6)mm Hg,明显低于术前的(9.8±1.3)分和(58.1±13.5)mm Hg,差异有统计学意义(t分别为34.384,15.069;P＜0.05),且与术前相比患者平均体重增加(6.1±2.6)kg,差异有统计学意义(Z=-3.742,P ＜0.05).术后发热发生率为52.3％,胸痛发生率为76.1％,颈胸部皮下气肿发生率为9.5％,气胸发生率为4.7％,无一例消化道出血的并发症.POEM手术成功率达100％.结论 完善患者围手术期的护理,是确保手术成功的重要环节,能有效促进患者康复,减少疾病复发,从而极大地提高患者生活质量.
目的 探討經口內為鏡下食管環形肌切開(POEM)手術治療賁門失弛緩癥患者(EA)的圍手術期護理方法.方法 對21例患者進行術前健康宣教、術後護理、重視併髮癥的觀察以及齣院指導等相關環節的護理.結果 21例EA患者均順利完成POEM術,術後3箇月Eckardt評分為(1.8±1.2)分,LES壓力為(21.4±8.6)mm Hg,明顯低于術前的(9.8±1.3)分和(58.1±13.5)mm Hg,差異有統計學意義(t分彆為34.384,15.069;P＜0.05),且與術前相比患者平均體重增加(6.1±2.6)kg,差異有統計學意義(Z=-3.742,P ＜0.05).術後髮熱髮生率為52.3％,胸痛髮生率為76.1％,頸胸部皮下氣腫髮生率為9.5％,氣胸髮生率為4.7％,無一例消化道齣血的併髮癥.POEM手術成功率達100％.結論 完善患者圍手術期的護理,是確保手術成功的重要環節,能有效促進患者康複,減少疾病複髮,從而極大地提高患者生活質量.
목적 탐토경구내위경하식관배형기절개(POEM)수술치료분문실이완증환자(EA)적위수술기호리방법.방법 대21례환자진행술전건강선교、술후호리、중시병발증적관찰이급출원지도등상관배절적호리.결과 21례EA환자균순리완성POEM술,술후3개월Eckardt평분위(1.8±1.2)분,LES압력위(21.4±8.6)mm Hg,명현저우술전적(9.8±1.3)분화(58.1±13.5)mm Hg,차이유통계학의의(t분별위34.384,15.069;P＜0.05),차여술전상비환자평균체중증가(6.1±2.6)kg,차이유통계학의의(Z=-3.742,P ＜0.05).술후발열발생솔위52.3％,흉통발생솔위76.1％,경흉부피하기종발생솔위9.5％,기흉발생솔위4.7％,무일례소화도출혈적병발증.POEM수술성공솔체100％.결론 완선환자위수술기적호리,시학보수술성공적중요배절,능유효촉진환자강복,감소질병복발,종이겁대지제고환자생활질량.
Objective To discuss the methods of perioperative care for patients with esophageal achalasia (EA) under peroral endoscopic myotomy (POEM) treatment.Methods 21 patients received nursing including preoperative health education,postoperative care,complication observation and discharge guidance.Results All 21cases of patients with EA successfully underwent POEM.3 months after operation,their Eckardt score was (1.8 ± 1.2) and LES pressure was (21.4 ± 8.6) mm Hg,both were obviously lower than before [(9.8 ±1.3) and (58.1 ± 13.5)],and the differences were statistically significant (t =34.384,15.069,respectively;P ＜ 0.05).And patients' average weight increased (6.1 ± 2.6) kg compared with before,the differences were statistically significant (Z =-3.742,P ＜ 0.05).The rate of fever was 52.3％,chest pain was 76.1％,aerodermectasia in the cervico-thoracic region was 9.5％,aerothorax was 4.7％,and no complications concerning hemorrhage of digestive tract.The successful rate of POEM was 100％.Conclusions Improving perioperative care of patients with EA is important to ensure a successful operation,which can promote the rehabilitation,reduce the recurrence,and enhance patients' quality of life.
