贲门失弛缓症患者经口内镜下肌切开术后生活质量的影响因素及干预措施  

Intervention and Quality of Life of Patients with Achalasia after Peroal Endoscopy Myotomy

作　　者：李小宝[1] 周染云[1] 陈琦[1] 付玉芳[1] 马翠云[1] 

机构地区：[1]解放军第三〇七医院,北京100071

出　　处：《解放军预防医学杂志》2017年第3期280-282,286,共4页Journal of Preventive Medicine of Chinese People's Liberation Army

摘　　要：文章阐述了贲门失弛缓症患者经口内镜下肌切开术后生活质量的状况及评估方法,影响因素和干预措施。其中,影响因素主要包括并发症如皮下气肿、胸骨后疼痛、穿孔和出血、食管再狭窄等。干预措施主要包括心理护理、疼痛护理、积极预防和处理术后并发症、术后定期随访等,对于降低疾病复发率、减轻患者痛苦、提高贲门失弛缓症患者的生活质量具有重要意义。This paper is intended to assess the quality of life of patients with achalasia and intervention measures after peroal endoscopy myotomy. It is found that the factors that influence the quality of life include postoperative complications for subcutaneous emphysema, chest pain, perforation and bleeding, and esophageal restenosis. Intervention measures involvepsycho- logical care,pain care,treatment of postoperative complications and regular follow-up. Reducing the rate of recurrence and the pain of patients is crucial for improving the life quality of patients with achalasia.

关 键 词：贲门失弛缓症 经口内镜下肌切开术 生活质量 影响因素 干预措施 

分 类 号：R573.7[医药卫生—消化系统]