双针会师法腹腔神经丛阻滞的程序化护理

Proceding nursing for bilateral neurolytic celiac plexus block on controlling abdominal cancer pain

目的总结对双针会师法腹腔神经丛阻滞治疗癌性腹痛的护理配合经验。方法结合CT引导下双针会师法腹腔神经丛阻滞治疗癌性腹痛的临床护理，分析该技术需护理配合的关键环节，初步制订相应的护理配合常规。结果除1例患者不能耐受俯卧位放弃治疗外，其余38例均成功实施了双针会师法腹腔神经丛阻滞治疗，术后31例完全停服止痛药。早期有3例漏做碘过敏试验，4例输液硬针头“跑针”；术后23例低血压，11例有“醉酒”表现，12例出现腹泻，其中6例弄脏了衣、被。结论CT引导下双针会师法腹腔神经丛阻滞治疗癌性腹痛效果确切，充分的术前护理准备可使阻滞操作更流畅，良好的术中、术后护理配合减少、减轻术后低血压、醉酒、腹泻等并发症。

Objective In order to summarize the experience and determine the nursing procedures for p bilateral neurolytic celiac plexus block on controlling intractable upper abdominal cancer pain. Methods Analyized the nursing points of 39 cases with bilateral neurolytic celiac plexus blocks on controlling abdominal cancer pain, to find out and determine the nursing key procedure for it. Results Except for one case can not endure the prone position, the others had gotten the bilateral neurolytic celiac plexus block successfully, and there were 31patients had achieved complete analgesia. There were 3 cases had not been done the iodine allergy testing ,4 cases have to re-catheterization in the early period. After the operation ,there were 23 caess had low blood pressure ,11 cases had gotten drunk and 12 cases gotten diarrhea. Conclusion Bilateral neurolytic celiac plexus block can result a better analgesic effect on abdominal cancer pain. Abundant preoperative nursing preparation can ensure the operation goes smoothly, and excellent nursing cooperation during/after the operation can reduce the complications.