^125I放射性粒子食管支架置入治疗食管癌伴吞咽困难患者的护理

Nursing care for esophageal carcinoma patients treated with ^(125)I seed esophageal stent implantation

目的探讨125I放射性粒子食管支架置入治疗食管癌的护理。方法对21例晚期食管癌患者实施125I放射性粒子食管支架置入。术前、术中、术后给予护理干预,记录与治疗相关并发症的发生及护理情况,对护理效果进行总结分析。结果 21例食管癌患者顺利置入125I放射性粒子食管支架,术后患者吞咽梗阻症状得到有效缓解,进食情况明显改善。支架置入4 h后,在护理人员的指导下进流食,吞咽顺畅,其中4例感胸痛,2例有少量出血,2例有异物感。结论 125I放射性粒子食管支架置入治疗食管癌是一项新的技术,术前、术中、术后等环节的正确护理,能有效降低相关并发症的发生。

Objective To investigate the optimal nursing measures for patients with esophageal carcinoma who are receiving ^125I seed esophageal stent placement treatment. Methods A total of 21 cases with advanced esophageal cancer were enrolled in this study. All patients were treated with ^125I radioactive particles esophageal stent implantation. Sufficient nursing interventions were carried out during perioperative period. Nursing measure-related complications were recorded, and the clinical results were analyzed. Results The implantation of ^125I seed esophageal stent was successfully accomplished in all the 21 patients. After the procedure, the symptom of dysphagia was effectively relieved, and the swallowing function was apparently improved. Four hours after the procedure, the patient, under nurse＇s guidance, stared to take liquid diet, and the patient began to swallow more easily. Four patients complained of fight side chest pain, two patients had small amount of bleeding, and two patients had obvious foreign body sensation. Conclusion For the treatment of advanced esophageal cancer, ^125I radioactive particles esophageal stent implantation is a newly developed technique. Correct perioperative nursing care can effectively reduce the occurrence of related complications and improve the therapeutic results. （J Intervent Radiol, 2014, 23：1106-1108）