内镜下ESD术治疗消化道早癌预防术后出血的围术期护理干预价值和效果探讨

目的:观察内镜下黏膜剥离术(ESD术)治疗消化道早癌预防术后出血的围术期护理干预价值和效果。方法:我院2021年1月-2023年1月收治的66例内镜下ESD术治疗消化道早癌患者为本次研究对象,为预防术后出血将患者均分为对照组(33例:常规护理)与实验组(33例:综合护理),比较两组患者护理效果。结果:实验组患者护理后心理状态、凝血指标、氧化指标较于护理前均显著改善且优于对照组,此外,实验组患者术后出血及总并发症发生率(3.03%)均低于对照组,数据差异明显(P<0.05)。结论:内镜下ESD术治疗消化道早癌患者针对术后出血开展围术期综合护理较于常规护理可安抚患者负面情绪,改善凝血指标、氧化指标,降低术后出血相关并发症发生率。

Objective:To observe the perioperative nursing intervention value and effectiveness of endoscopic mucosal dissection(ESD)for the prevention of postoperative bleeding in the treatment of early gastrointestinal cancer.Method:66 patients with early gastrointestinal cancer treated with endoscopic ESD surgery in our hospital from January 2021 to January 2023 were included in this study.To prevent postoperative bleeding,the patients were divided into a control group(33 cases:routine care)and an experimental group(33 cases:comprehensive care),and the nursing effects of the two groups were compared.Result:After nursing,the psychological state,coagulation indicators,and oxidation indicators of the experimental group patients were significantly improved compared to before nursing and better than the control group.In addition,the incidence of postoperative bleeding and total complications in the experimental group patients(3.03%)was lower than that in the control group,with significant data differences(P<0.05).Conclusion:Endoscopic ESD surgery for early gastrointestinal cancer patients can provide comprehensive perioperative care for postoperative bleeding,which can calm patients'negative emotions,improve coagulation and oxidation indicators,and reduce the incidence of postoperative bleeding related complications compared to routine care.