环节护理在克罗恩病消化道狭窄内镜下球囊扩张术中的效果分析

Application of link nursing in the endoscopic balloon dilation for digestive tract stricture in Crohn's disease

目的 探讨环节护理在克罗恩病(CD)消化道狭窄内镜下球囊扩张(EBD)术中的应用效果.方法 前瞻性纳入2013年4月至2018年6月在中山大学附属第六医院确诊CD合并消化道狭窄行EBD术的患者,随机分为观察组和对照组,观察组在常规护理基础上行环节护理,对照组行常规护理.分析两组患者EBD术中的情况.结果 36例CD患者入组,观察组和对照组各18例.两组患者在性别、年龄、狭窄部位、狭窄长度等方面差异均无统计学意义.观察组在心率增快(11.1％比44.4％,P=0.025)、术中拔镜(5.6％比33.3％,P=0.035)、术中躁动(16.7％比50.0％,P=0.033)和术后渗血(22.2％比55.6％,P=0.040)等方面的发生率均低于对照组.结论 环节护理可有效的降低患者在EBD术中的应激反应和并发症.

Objective To investigate the efficacy of link nursing for treatment of digestive tract stricture associated with Crohn's disease (CD) using endoscopic balloon dilation (EBD).Methods CD patients with digestive tract stricture who underwent EBD at The Sixth Affiliated Hospital of Sun Yat-sen University from April 2013 to June 2018 were prospectively enrolled and randomly divided into observation group and control group.Link nursing with regular nursing was performed in observation group and regular nursing was performed in control group.Intra-operational presentations in both groups during EBD were analyzed.Results A total of 36 CD patients were enrolled with 18 cases in both observation and control group.There were no significant differences in gender,age,stricture site,and stricture length between two groups (all P＞0.05).Compared with control group,observation group had lower incidences of increased heart rate (11.1％ vs.44.4％,P =0.025),endoscopic withdraw (5.6％ vs.33.3％,P =0.035),intra-operative agitation (16.7％ vs.50.0％,P=0.033) and postoperative bleeding (22.2％ vs.55.6％,P=0.040).Conclusion Link nursing can decrease the stress reaction and perioperative complications of EBD.