老年大肠黑变病伴晚期直肠癌的护理  

Nursing care of senile melanosis coli complicated with advanced rectal cancer

作　　者：王佃荣 刘伟 王兰兰 王倩 李秀举 赵立平 Wang Dianrong;Liu Wei;Wang Lanlan;Wang Qian;Li Xiuju;Zhao Liping(First Department of General Surgery,Linyi Tumor Hospital,Linyi 276000,China;Emergency Department,Linyi Tumor Hospital,Linyi 276000,China;Third Division,Department of Gynecological Oncology,Tumor Hospital Affiliated to Shandong First Medical University,Jinan 250117,China;Nursing Department,Linyi Tumor Hospital,Linyi 276000,China)

机构地区：[1]临沂市肿瘤医院普外一科,临沂276000 [2]临沂市肿瘤医院急诊科,临沂276000 [3]山东第一医科大学附属肿瘤医院妇科肿瘤三病区,济南250117 [4]临沂市肿瘤医院护理部,临沂276000

出　　处：《国际医药卫生导报》2022年第7期1002-1006,共5页International Medicine and Health Guidance News

摘　　要：目的总结1例老年大肠黑变病(melanosis coli,MC)合并晚期直肠癌的围术期护理。方法对1例MC合并晚期直肠癌的患者做好围术期护理并进行文献学习。结果术前个体化综合评估,加强肺功能锻炼,进行有效的心理干预和充分的肠道准备。术后合理的营养支持,实施多模式镇痛策略,加强管路护理、注重黑变结肠造口护理,密切观察病情变化,积极防治并发症,加强健康宣教指导。经过19 d的精心治疗和护理,患者康复出院。结论MC临床少见,伴发直肠癌也罕有报道,总结其围术期护理,为临床提供参考。Objective To summarize the perioperative nursing of an elderly patient with melanosis coli(MC)and advanced rectal cancer.Methods A patient with MC and advanced rectal cancer received perioperative nursing,and the literatures were studied.Results Preoperative individualized comprehensive evaluation was performed,pulmonary function exercise was strengthened,and effective psychological intervention and adequate intestinal preparation were taken.Reasonable postoperative nutritional support was given,multi-mode analgesic strategy was implemented,pipeline nursing was strengthened,the nursing of melanosis colostomy was paid attention to,the disease changes was closely observed,the complications were actively prevented and treated,and the health education and guidance were strengthened.After 19 days'careful treatment and nursing,the patient recovered and was discharged from the hospital.Conclusions MC is rare in clinic,and it is rarely reported that it is associated with rectal cancer.The perioperative nursing was summarized for clinical references.

关 键 词：大肠黑变病 直肠癌 老年 围术期护理 HARTMANN术 肠造口 

分 类 号：R473.73[医药卫生—护理学]