改良支架辅助线装置在食管支架置入术后患者中的应用  

Application of modified stent auxiliary line device in patients undergoing esophageal stent implantation

作　　者：夏云[1] 楼奇峰 杨莹[1] 徐佳英 王蓉 叶柳芽 Xia Yun;Lou Qifeng;Yang Ying;Xu Jiaying;Wang Rong;Ye Liuya(Department of Digestive Medicine,Hangzhou First People's Hospital Affiliated to Zhejiang University School of Medicine,Hangzhou 310006,China;Digestive Endoscopy Center,Hangzhou First People's Hospital Affiliated to Zhejiang University School of Medicine,Hangzhou 310006,China)

机构地区：[1]浙江大学医学院附属杭州市第一人民医院消化内科,310006 [2]浙江大学医学院附属杭州市第一人民医院消化内镜中心,310006

出　　处：《中华现代护理杂志》2020年第20期2778-2781,共4页Chinese Journal of Modern Nursing

基　　金：2019年浙江省医药卫生科技计划项目(2019PY059)。

摘　　要：目的探讨改良食管金属支架辅助线装置对提高患者舒适度的临床应用价值。方法采用便利抽样法,选择2014年3月—2016年9月浙江大学医学院附属杭州市第一人民医院收治的16例食管气管瘘患者为对照组,实施带辅助线食管支架置入术后,在耳后和脸颊上使用溃疡贴保护皮肤,对鼻腔和咽喉部粘膜无保护措施。选择2016年10月—2019年11月收治的19例食管气管瘘患者为试验组,在使用溃疡贴保护皮肤的基础上,将支架辅助线穿过输液软管,输液软管沿着辅助线进入鼻腔、通过咽喉到达支架前端。比较两组患者舒适度和鼻腔溃疡的发生率。结果试验组患者带辅助线食管支架置入术后10 d自觉舒适度(4.16±0.83)分,术后20 d(6.05±0.97)分,均优于对照组,差异有统计学意义(t值分别为-8.340、-7.030;P<0.01)。术后30 d,试验组患者鼻腔溃疡的发生率47.37%,对照组为100.0%,两组比较差异有统计学意义(P<0.01)。结论改良食管金属支架辅助线装置能提高患者舒适度,降低鼻腔溃疡的发生率,有一定临床应用价值。Objective To explore the clinical application values of modified esophagus metal stent auxiliary line device in improving the comfort level of patients.Methods By the convenient sampling method,a total of 16 patients with tracheoesophageal fistula who were admitted and treated in Hangzhou First People's Hospital Affiliated to Zhejiang University School of Medicine from March 2014 to September 2016 were selected as the control group.After the implantation of the esophageal stent with an auxiliary line,an ulcer patch was used to protect the skin behind the ears and cheeks,and there was no protection for the nasal cavity and throat mucosa.A total of 19 patients with tracheoesophageal fistula who were admitted from October 2016 to November 2019 were selected as the experimental group.On the basis of using ulcer patch to protect the skin,the auxiliary line of the stent was passed through the infusion hose.The infusion hose entered the nasal cavity along the auxiliary line and reached the front of the stent through the throat.The comfort degree and the incidence of nasal ulcer were compared between the two groups.Results The self-perceived comfort level of patients on 10 days after implantation of the esophageal stent with an auxiliary line in the experimental group was(4.16±0.83)and that on 20 days after implantation was(6.05±0.97),both of which were superior to the control group,and the differences were statistically significant(t=-8.340,-7.030;P<0.01).At 30 days after surgery,the incidence of nasal ulcers in the experimental group was 47.37%and that in the control group was 100.0%.The difference between the two groups was statistically significant(P<0.01).Conclusions The modified esophageal metal stent auxiliary line device can improve comfort level of patients and reduce the incidence of nasal ulcers,which has certain clinical application value.

关 键 词：护理 带辅助线食管金属支架 舒适度 鼻腔溃疡 

分 类 号：R473.6[医药卫生—护理学]