快速康复配合腹腔穿刺减压治疗胃粘膜下肿瘤术后气腹的效果观察

Intervention of Postoperative Pneumoperitoneum in Submucosal Tumor Patients with Abdominal Puncture Deflation Combined with Gastrointestinal Gecompression

目的:探讨快速康复护理模式对行腹腔穿刺放气结合胃肠减压处理胃黏膜下肿瘤患者的术后气腹症状,为临床护理工作提供参考。方法:对我院2010年7月至2013年1月收治的43例的胃黏膜下肿瘤患者行EFR手术,对术中及术后各临床资料进行分析。结果:两组患者手术的基本情况无显著性差异(P>0.05)。快速康复组患者术后恢复情况优于常规护理组,且术后并发症的发生率低,差异具有统计学意义(P<0.05)。快速康复组护理工作的落实率和患者治疗的依从性均明显优于常规护理组,差异具有统计学意义(P<0.05)。结论:通过胃肠减压和腹腔穿刺放气能有效改善患者因术中胃壁全层切除产生胃壁穿孔而导致的术后气腹症状,全套操作及护理能够减少患者术后并发症、平均住院时间和平均住院花费,是一种安全有效的处理胃粘膜下肿瘤EFR术后气腹方法。

Objective： To explore the effect of the rapid recovery on the treatment of postoperative pneumoperitoneum in submucosal tumor patients who had adopted the abdominal puncture deflation combined with the gastrointestinal decompression so as to provide references for clinical nursing work. Methods： The clinical data of 43 patients with submucosal tumor（SMT） after the endoscopic full-thickness resection（EFR） who were treated in our hospital between July 2010 and May 2013. Results： There was no significant difference in the basic situations of patients between the two groups（P〉0.05）. The postoperative recovery of patients in the rapid rehabilitation group was better than that of the conventional nursing group, while the the incidence of postoperative complications was lower than that of the conventional nursing group with statistically significant differences（P〈0.05）. The compliance of patients and the achievement of nursing work in the rapid rehabilitation group were better than those of the conventional nursing group with statistically significant differences（P〈0.05）. Conclusions： Gastrointestinal decompression and abdominal puncture deflation could effectively improve the symptoms of pneumoperitoneum caused by stomach perforation led by full-thickness resection of gastric wall.Complete set of operation and nursing could reduce postoperative complications, average hospitalization time and average cost. It was a safe and effective way to deal with postoperative pneumoperitoneum in submusocal tumor patients after EFR.