微氧渗透联合负压封闭引流在食管癌颈部吻合口瘘中的应用效果

Application effect of micro-oxygen infiltration combined with negative vacuum xsaling drainage in cervical anastomotic fistula of esophageal cancer

目的探讨微氧渗透联合负压封闭引流(VSD)在食管癌颈部吻合口瘘中的应用效果。方法选取2017年1月—2020年1月84例食管癌颈部吻合口瘘患者为研究对象,其中2017年1月—2018年6月40例患者为对照组,采用常规护理;2018年7月—2020年1月44例患者为观察组,采用微氧渗透联合VSD干预。比较两组患者瘘口愈合时间、换药次数、治疗费用,记录瘘口愈合率、肺部感染发生率以及吻合口狭窄发生率。结果观察组瘘口愈合时间、换药次数、治疗费用均低于对照组,差异有统计学意义(P<0.05);观察组瘘口愈合率高于对照组,肺部感染以及吻合口狭窄发生率低于对照组,差异有统计学意义(P<0.05)。结论微氧渗透联合VSD干预能够加快食管癌颈部吻合口瘘的愈合,提高瘘口愈合率,减少换药次数、治疗费用,并降低肺部感染以及吻合口狭窄等并发症。

Objective To explore the nursing effect of micro-oxygen infiltration combined with negative vacuum sealing drainage(VSD)in the treatment of cervical anastomotic fistula of esophageal cancer.Method To select 84 cervical anastomotic fistula of esophageal cancer patients admitted in the hospital from January 2017 to January 2020 as the study object,40 patients admitted in January 2017 to June 2018 were applied the routine care and set as control group,44 patients admitted from July 2018 to January 2020 treated with micro-oxygen infiltration combined with VSD intervention were set as observation group.The fistula healing time,number of dressing changes,cost of treatment were compared between two groups.The fistula healing rate,incidence of lung infection and incidence of anastomotic stenosis were recorded.Result The fistula healing time,number of dressing changes,treatment cost of the observation group were lower than the control group,the difference was statistically significant(P<0.05);the fistula healing rate,lung infection incidence of anastomotic stenosis of the observotion group were lower than the control group,the difference was statistically significant(P<0.05).Conclusion Micro-oxygen infiltration combined with VSD intervention could accelerate the healing of cervical anastomotic fistulas of esophageal cancer,increase the rate of fistula healing,reduce the number of dressing changes,treatment costs and reduce lung infection and anastomotic stenosis,complications.