内镜下行黏膜剥离术的精细护理配合  

Fine nursing cooperation in endoscopic submucosal dissection

作　　者：余爱玲[1] 任玲[2] 颜晶[2] 徐成好[1] 季春妍 Yu Ailing;Ren Ling;Yan Jing;Xu Chenghao;Ji Chunyan(Department of Gastrointestinal Endoscopy,the First People's Hospital of Lianyungang,Jiangsu Province,Lianyungang 222000,China;Department of Gastroenterology,the First People's Hospital of Lianyungang,Jiangsu Province,Lianyungang 222000,China)

机构地区：[1]江苏省连云港市第一人民医院消化内镜科,222000 [2]江苏省连云港市第一人民医院消化科,222000

出　　处：《中华现代护理杂志》2020年第22期3089-3092,共4页Chinese Journal of Modern Nursing

摘　　要：目的:探讨内镜下黏膜剥离术(ESD)治疗消化道病变术中的精细护理配合。方法:采用便利抽样法,选取江苏省连云港市第一人民医院2016年11月—2019年4月收治的消化道病变行ESD的67例患者为研究对象,对患者ESD术中的精细护理配合进行综合归纳、分析。结果:67例患者均一次性切除病灶,其中1例穿孔并发腹膜炎急转胃肠外科手术;4例术中疑似穿孔选用和谐夹止血、夹闭、固定,行胃肠减压观察;3例术后出血再次行内镜下止血治疗,未出现大出血,经保守治疗均痊愈出院。结论:ESD是一种创伤小、疗效好的标准微创手术方法,也是经济、安全、可靠的治疗消化道浅表性病变的方法。精细护理配合体现在手术全流程各个方面,不仅可以促进和提高手术的成功率,更重要的是能够配合医师防止因细节疏忽而造成手术并发症的发生。Objective:To explore the fine nursing cooperation in endoscopic submucosal dissection(ESD)in the treatment of digestive tract diseases.Methods:Totally 67 patients with digestive tract diseases who underwent ESD at the First People's Hospital of Lianyungang from November 2016 to April 2019 were selected by convenient sampling.The fine nursing cooperation in ESD for these patients were comprehensively summarized and analyzed.Results:The 67 patients had one-time resection of the lesion,including 1 case with perforation complicated with peritonitis and referred to the gastrointestinal department for surgery;4 cases with suspected perforation were treated with harmonious clamps for hemostasis,clamping,and fixation,and gastrointestinal decompression was observed;3 cases with postoperative bleeding received endoscopic hemostasis again;no major bleeding occurred,and all were cured and discharged after conservative treatment.Conclusions:ESD is a standard minimally invasive surgical method with little trauma and good efficacy,and it is also an economical,safe and reliable method for treating superficial lesions of the digestive tract.Fine nursing cooperation is reflected throughout the entire surgical procedure,which not only can improve the success rate of surgery,but more importantly,can enable nurses to cooperate with physicians to prevent the occurrence of surgical complications due to negligence of details.

关 键 词：护理 内镜下黏膜剥离术 护理配合 

分 类 号：R472.3[医药卫生—护理学]