腔内激光消融治疗下肢静脉性溃疡的观察及护理

The clinical observation and nursing of patients with lower extremity venous ulcerations treated with endovenous laser ablation

目的总结腔内激光消融治疗下肢静脉性溃疡的护理经验。方法回顾性分析29例下肢静脉性溃疡腔内激光消融治疗的临床护理程序:围手术期护理,溃疡面护理及术后并发症的防治等。结果27例患者溃疡术后12～83 d内愈合,2例未愈合,2例于2年后溃疡复发。结论腔内激光消融是下肢静脉性溃疡的有效治疗方法。术前积极进行创面护理,术后密切观察患肢情况,早期有序的患肢功能锻炼是护理的关键。

Objective To summarize the nursing care experience for patients with lower extremity venous ulcerations who received endovenous laser ablation treatment. Methods The clinical data of 29 patients with lower extremity venous ulcerations who received endovenous laser ablation treatment were retrospectively analyzed. The nursing procedures included perioperative nursing care, nursing care for ulceration＇s surface and preventive measures of postoperative complications. The results were analyzed. Results Within 12- 83 days after the treatment the superficial ulceration healing was obtained in 17 patients, and the superficial ulceration remained ih 2 patients. Recurrence of superficial ulceration was seen in two patients two years after the treatment. Conclusion Endovenous laser ablation treatment is an effective therapy for lower extremity venous ulcerations. Active preoperative care of the surface of wound, postoperative close observation of the diseased limb and the early function exercise training of the diseased limb are the key points of the nursing care.