内镜黏膜下剥离术治疗食管癌前病变的临床护理

Clinical nursing of endoscopic submucosal dissection for treatment of esophageal precancerous lesions

目的:探讨内镜黏膜下剥离术治疗食管癌前病变患者的临床护理体会。方法:收治内镜黏膜下剥离术治疗食管癌前病变患者80例,采用术前护理评估,心理护理与手术准备,术中严密观察病情,做好手术配合,术后进行体位护理、气道护理、饮食护理、并发症的观察与护理,总结护理体会。结果:80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:内镜黏膜下剥离术治疗食管癌前病变可提高病变黏膜完整切除率,但风险大,专业、细致的护理能有效提高手术成功率并减少并发症的发生,促进患者康复。

Objective:To explore the clinical nursing of endoscopic submucosal dissection for treatment of esophageal precancerous lesions.Methods:80 patients with esophageal precancerous lesions treated with endoscopic submucosal dissection were selected.Before operation,they were given nursing assessment,psychological nursing and preoperative preparation.During operation,we closely observed the patient’s condition and completed the operation coordination.After operation,they were given posture nursing,airway nursing,dietary nursing,observation and nursing of complications.We summed up the nursing experience.Results:80 patients received a smooth transition from the preoperative to surgery.The recovery of patients after surgery was good.There was no nursing complications.Conclusion:Endoscopic submucosal dissection for esophageal precancerous lesions can improve the complete resection rate of lesions,but the risk was large.Professional and meticulous care can effectively improve the success rate and reduce the incidence of complications,and promote the rehabilitation of patients.