食管内镜下黏膜下剥离术的围手术期护理

Perioperative nursing of esophageal endoscopic submucosal dissection

目的通过对食管内镜下黏膜下剥离术（ESD）围手术期患者护理经验的回顾，总结针对此类患者的护理体会。方法采用术前指导、术中配合、术后护理的护理程序对接受ESD治疗的33例患者的围手术期护理进行总结。结果本组33例患者从术前平稳过渡到接受手术，患者术后均恢复良好，无护理并发症发生。结论食管ESD可提高病变黏膜完整切除率，但风险大，因此作为一项新技术，做好患者围手术期护理是至关重要的，它可减轻患者术前焦虑，帮助患者顺利度过手术的不同时期。

Objective To summarize the nursing experience in esophageal endoscopic submucosal dissection （ESD）. Methods Instruction before the procedure, assistance in the operation and management after ESD in 33 cases were retrospectively analyzed. Results In this investigation, 33 patients underwent operation smoothly, and recovered well without nursing complications. Conclusions ESD of early esophageal cancer has a high rate of complete resection rate, but it also has a risk of complication. Therefore, as a new technology, it＇ s essential to do perioperative care, which will reduce preoperative anxiety and assist patients to overcome different periods of the treatment.