内镜下黏膜剥离术治疗老年早期胃癌的围手术期护理  

Perioperative nursing for aged patients with early gastric cancer after endoscopic sub-mucosal dissection

作　　者：张婕[1] 陈炫[1] 卢忠生[1] 丁伟伟[1] 

机构地区：[1]解放军总医院消化内科,北京100853

出　　处：《军医进修学院学报》2012年第11期1141-1142,共2页Academic Journal of Pla Postgraduate Medical School

摘　　要：目的总结内镜下黏膜剥离术(endoscopic submucosal dissection,ESD)治疗老年早期胃癌围手术期的护理经验。方法根据术前、术中、术后护理及出院指导对162例次(155例)内镜下黏膜剥离术治疗老年早期胃癌的围手术期护理进行总结。结果 155例患者的病变组织全部成功切除,术中未出现穿孔并发症,7例(4.3%)出现迟发性出血并采取相应措施,90例(56%)患者随访无复发。结论有针对性地开展围手术期护理,有利于提高手术成功率、减少并发症。Objective To summarize the experiences with perioperative nursing for aged patients with early gastric cancer（EGC） after endoscopic sub-mucosal dissection（ESD）.Methods Experiences with perioperative nursing（including nursing before,during and after operation,and after discharge from hospital） for 155 aged patients with EGC after ESD were summarized.Results All lesions in the 155 patients were successfully removed,during which no perforation occurred.Delayed hemorrhage was found in 7 patients（4.3%）and stopped after certain measures were taken.Ninety patients（56%） were followed up,during which they had no recurrence.Conclusion It helps to increase the success rate of operation,reduce the complications and improve the life quality of patients to strengthen the examination of complications,assessment of the disease before operation,perioperative nursing of the patients with EGC after ESD and instructions for patients after discharge from hospital and their families.

关 键 词：内镜下黏膜剥离术 早期胃癌 老年人 围手术期护理 

分 类 号：R472[医药卫生—护理学]