内镜黏膜下剥离术治疗食管高级别上皮内瘤变的护理  

Nursing of patients with high grade intraepithelial neoplasia treated by endoscopic submucosal dissection

作　　者：贾宏艳[1] 丁静[1] 张伟锋[1] 陶桂[1] 陈莉[1] 

机构地区：[1]南京医科大学第一附属医院消化内镜中心,江苏南京210029

出　　处：《现代临床护理》2015年第10期50-53,共4页Modern Clinical Nursing

摘　　要：目的探讨内镜黏膜下剥离术治疗食管高级别上皮内瘤变的护理经验。方法对30例食管高级别上皮内瘤变患者行内镜黏膜下剥离术治疗和护理。结果 30例患者病变部位均成功剥离,成功率100.0%。术中无发生手术相关并发症;术后5例出现体温升高,6例出现胃肠道症状,经处理,症状缓解。结论内镜下黏膜剥离术治疗食管高级别上皮内瘤变效果好。术前做好患者心理护理,完善患者各项检查,物品准备;术中熟练的配合,做好病情观察;术后做好饮食护理、管道护理和出院指导,对保证手术成功具有重要意义。Objective To explore the experience in nursing the patients with esophageal high-grade intraepithelial neoplasia lesions treated with endoscopic submucosal dissection. Method A retrospective analysis was carried out among the patients with esophageal high-grade intraepithelial neoplasia lesions to look into the nursing care to the patients. Results Thirty patients were successfully stripped, and no surgical complication occurred. After intensive care, they were cured and discharged. Conclusion Professional and meticulous care can effectively improve the success rate of endoscopic submucosal dissection and reduce the incidence of complications, and promote the rehabilitation of patients.

关 键 词：内镜下黏膜剥离术 食管高级别上皮内瘤变 护理 

分 类 号：R473.73[医药卫生—护理学]