精细化护理在贲门失驰缓症患者围手术期护理中的应用  

Application of Meticulous Nursing in Perioperative Nursing Care of Patients With Achalasia

作　　者：王栩[1] 祝洋[2] 严文叶 

机构地区：[1]江苏省盐城市第三人民医院消化内科,江苏盐城224001 [2]江苏省泰州市人民医院腔镜中心,江苏泰州225300 [3]江苏省人民医院产科二病区,江苏南京210000

出　　处：《中国继续医学教育》2017年第12期217-219,共3页China Continuing Medical Education

摘　　要：目的探讨经口内镜下食道环形肌切开术治疗贲门失驰缓症患者时精细化护理在围术期的作用与价值。方法对24例本院2015年2月—2017年3月收治的经口内镜下食道环形肌切开术治疗的贲门失驰缓症患者进行研究,按照随机数字法分组,实验组与对照组各12例。对照组采用常规围术期护理,实验组采用精细化护理,比较两组并发症发生率、吞咽障碍改善率与护理满意度。结果实验组护理满意度为91.67%,吞咽障碍改善率为83.33%,并发症发生率为8.33%,对照组护理满意度、吞咽障碍改善率与并发症发生率分别为50.00%、33.33%、58.33%,组间差异具有统计学意义(P<0.05)。结论精细化护理不仅可降低贲门失驰缓症患者并发症发生率,也可提高其吞咽障碍改善率与护理满意度。Objective To investigate the effect and value of meticulous nursing in perioperative period of patients undergoing endoscopic reduction of esophageal achalasia. Methods 24 cases of achalasia patients in our hospital from February 2015 to March 2017 were treated by oral endoscopic esophageal myotomy, they were divided into two groups according to the random number method, 12 cases each in the experimental group and control group. The control group was treated with routine perioperative care, and the experimental group was treated with meticulous nursing. The complication rate, the improvement rate of dysphagia and the satisfaction degree of nursing were compared between the two groups. Results The nursing satisfaction of experimental group was 91.67%, dysphagia improvement rate was 83.33%, the complication rate was 8.33%, nursing satisfaction, dysphagia improved rate and complication rate in the control group were 50.00%, 33.33%, 58.33%, the difference was statistically significant （P〈0.05）. Conclusion Meticulous nursing can not only reduce the complication rate of patients with achalasia, but also improve the rate of dysphagia and the satisfaction of nursing.

关 键 词：经口内镜 食道环形肌切开术 贲门失驰缓症 精细化护理 

分 类 号：R473[医药卫生—护理学]