基于高频电切除术的结肠息肉患者低血糖反应及综合护理干预

基于高频电切除术的结肠息肉患者,探讨术后低血糖反应因素及综合护理干预价值。方法 选取本院结肠息肉高频电切除患者200例,时间在2021.06~2023.12之间,随机分组后对比两组患者的护理效果、术后情况、低血糖反应因素及发生率。结果 观察组的护理满意数据好于对照组(P<0.05);观察组术后各项情况好于对照组(P<0.05);观察组的低血糖反应发生率低于对照组(P<0.05)。结论 高频电刀的术后,患者会由于一些原因出现低血糖反应。采用综合护理干预方法能减少患者低血糖反应发生,助力患者术后恢复。

强化术后护理模式在内镜下切除胃结肠息肉患者护理中的应用价值

探究在通过内镜进行胃结肠息肉切除后的患者中,强化术后的护理模式的意义价值。方法 回顾最近在我院诊断出存在胃结肠息肉的患者,选择入院诊断时间为(2023年3月-2024年4月)的胃结肠息肉患者,从中选择在内镜下进行胃结肠息肉切除的患者66例,依据随机模式的分配方法,对他们进行对照组和试验组的分组,各组分配患者33例,两组采用的护理方案有不同,在手术治疗全程两组都采取常规方案的护理,在这个基础上,实验组手术过后,针对术后的护理进行了强化,而对照组依照常规方案进行手术后的护理,对比不同手术护理方案对护理的效果的影响。结果 经过观察对比发现,强化手术后的护理模式的实验组护理的效果比不强化组的更好,实验组依从情况更好,实验组发生并发症的病人较少,实验组的疼痛情况以及心理状态比对照组更好,差异都比较明显(P<0.05)。结论 在胃结肠息肉患者的内镜下切除手术的围术期,强化手术治疗后的护理模式,可以提高患者护理依从性,减少并发症和息肉复发的发生情况,减轻患者手术后的疼痛感,改善手术后患者的心理状态,有较高的应用价值。

结肠息肉患者内镜下高频电凝切除术中的整体护 理干预效果分析

目的:分析采用整体护理干预在结肠息肉患者内镜下高频电凝切除术中的实施效果。方法:抽取我院2017年6月至2019年6月间进行治疗的82例结肠息肉患者,相关患者均应用镜下高频电凝切除术进行治疗,并按照其入院时间的先后顺序将其分为两组,其中常规组41例患者,观察组41例患者,在常规组中应用常规护理进行干预,观察组则应用整体护理进行干预,之后,对护理后患者的疼痛评分、生活质量评分、护理满意度等指标进行观察。结果:经过两组护理干预,观察组患者的术后疼痛评分、生活质量评分、护理满意度等指标均要显著优于对照组患者,且组间差异存在对比价值(P<0.05)。结论:对内镜下高频电凝切除术进行治疗的结肠息肉患者应用整体护理干预模式具备积极意义,不但能有效降低患者的术后疼痛程度,还可提升护理满意度以及生活质量,具有较高的护理价值,值得在临床上推广应用。

结肠息肉患者内镜下粘膜切除术中丙泊酚麻醉疗效观察

目的:研究对结肠息肉患者在内镜之下进行黏膜切除手术治疗时通过丙泊酚进行麻醉所取得的效果。方法:本文所选病例来自2017年6月至2018年12月本院收治的结肠息肉患者98例,采用随机方法将所有患者分为观察组和对照组,评价不同麻醉方法所取得的效果。结果:观察组不良反应发生率为4.08%(2/49),对照组不良反应发生率为16.33%(8/49),P<0.05,差异明显;观察组患者的苏醒时间、术后血氧饱和度水平、丙泊酚用量都明显比对照组更优,P<0.05,差异存在统计学意义。结论:临床对结肠息肉患者在内镜下采用黏膜切除术治疗时通过丙泊酚麻醉可以发挥理想的麻醉效果,而且为患者应用丙泊酚持续静脉输注麻醉相对于丙泊酚间断静脉注射而言具有更高的安全性,可促进患者尽快苏醒。

内镜下黏膜切除术对结肠息肉患者的疗效分析

探索内镜下黏膜切除术对结肠息肉患者的疗效。方法 选择我院2023年1月-2023年3月纳入的50例结肠息肉患者,根据手术方案不同分二组。对照组采取高频电切手术,观察组患者则实施内镜下黏膜切除术。比较两组患者免疫功能指标、机体炎性因子指标发生率、手术前后患者生存质量。结果 观察组免疫功能指标、机体炎性因子指标发生率、手术后患者生存质量均优于对照组,P<0.05。结论 结肠息肉患者实施内镜下黏膜切除术效果确切,可减弱机体炎症的产生,且对免疫功能的损害更轻,更有利于改善患者术后的生存质量,值得推广。

强化术后护理在内镜下切除胃结肠息肉患者护理中的应用效果观察

探讨强化术后护理在内镜下切除胃结肠息肉患者护理中的应用效果。方法:将我院2018年10月-2021年6月200例内镜下切除胃结肠息肉的患者,根据护理方法分二组。对照组给予常规护理,实验组强化术后护理。比较两组护理满意率、术后住院时间、并发症发生率。结果:实验组护理满意率、术后住院时间、并发症发生率和对照组比较,存在显著差异,P<0.05。结论:强化术后护理在内镜下切除胃结肠息肉患者护理中的应用效果确切,可减少并发症发生,缩短住院时间和提高患者的满意度。

康复干预对肠镜下结肠息肉切除术患者预后效果的影响分析

目的探讨康复干预对肠镜下结肠息肉切除术患者预后效果的影响。方法68例行肠镜下结肠息肉切除术患者,依据信封随机法分为实验组与对照组,每组34例。对照组给予常规干预,实验组在对照组干预的基础上进行康复干预。比较两组术后康复效果、术后住院时间、并发症发生率及干预前后生活质量。结果实验组术后康复总有效率为100.00%,高于对照组的79.41%,差异有统计学意义(P<0.05)。实验组术后住院时间(6.01±0.61)d短于对照组的(8.24±0.65)d,差异有统计学意义(P<0.05)。实验组并发症发生率为2.94%,低于对照组的23.53%,差异有统计学意义(P<0.05)。干预后,实验组生活质量评分(93.56±4.45)分高于对照组的(83.21±4.42)分,差异有统计学意义(P<0.05)。结论康复干预在肠镜下结肠息肉切除术患者的术后干预中应用效果确切,可减少并发症发生,缩短住院时间和提高康复效果,促进患者生活质量改善,值得推广。

Clinical and molecular analysis of hereditary non-polyposis colorectal cancer in Chinese colorectal cancer patients

AIM： To analyze the frequency of hereditary non-polyposis colorectal cancer （HNPCC） in Chinese colorectal cancer （CRC） patients, and to discuss the value of microsatellite instability （MSI） and/or immunohistochemistry （IHC） for MSH2/MLH1 protein analysis as pre-screening tests in China. METHODS： The Amsterdam criteria Ⅰ and Ⅱ （clinical diagnosis） and/or germline hMLHI/hMSH2 mutations （genetic diagnosis） were used to classify HNPCC families. Genetic tests, including microsatellite instability, immunohistochemistry for MSH2/MLH1 proteins and hMSH2/hMLH1 genes, were performed in each proband. RESULTS： From July 2000 to June 2004, 1988 patients with colorectal cancer were analysed and 114 CRC patients （5.7%） from 48 families were categorized as having HNPCC, including 76 from 26 families diagnosed clinically and 38 from the other 22 families diagnosed genetically. The sensitivity and specificity of high MSI and IHC for predicting mutations were 100% and 54%, and 79% and 77%, respectively. CONCLUSION： The frequency of HNPCC is approximately 10% among all Chinese CRC cases. The MSI and IHC detections for hMSH2/hMLH1 proteins are reliable prescreening tests for hMLHI/hMSH2 germline mutations in families suspected of having HNPCC.

Clinicopathologic Analysis of 2,889 Nanchang-Area Patients with Colorectal Polyps

OBJECTIVE To study the clinicopathologic characteristics, changes in the nature and incidence of colorectal polyps in the Nanchang area, Jiangxi, Province. METHODS We retrospectively investigated the patients with colorectal polyps who were diagnosed by colonoscopy and pathology in our hospital from 1990 to 2004. The analysis involved the incidence, average patient age, polyp location and pathological types. We recorded the changes of the polyp clinicopathologic features by comparing the clinicopathologic types of colorectal polyps over fi ve-year periods. RESULTS Of the 21,853 patients who received a colonoscopy, 2,889(13.2%) were diagnosed with colorectal polyps. Their average age was 46.6±16.5 years, with a male to female ratio of 1.8:1. The males were older than females (47.1±17.5 vs. 45.5±14.5, P<0.05). Location of the polyps: 41% in the rectum, 27.7% in the sigmoid colon, 35.8% in the left side verus 23.1% in the right side (P<0.05). Patients with polyps located in the transverse and ascending colon were older than those with polyps in the rectum and sigmoid colon (P<0.05). Adenomatous polyps comprised the most common type (67%) and the rectum was the most common site for each type, especially juvenile and retention polyps. Juvenile polyps were found in the youngest patients(12±4.8, P<0.05) and the adenomatous in the oldest (52±14, P<0.05). The ratio of patients with polyposis comprised 1.2%, and patients with polyps accompanied with colorectal cancer comprised 6.1%. Examination of the changes in the incidence, the average patient age, and adenomatous type showed that they had all increased, but the frequency of infl ammatory and retention polyps decreased. CONCLUSION Colorectal polyps are a common problem. The frequency is greater in males compared to females and the rectum and sigmoid colon had the highest incidence. Most juvenile and retention polyps were found in young patients, but most adenomatous occurred in adults. In recent years, the incidence of colorectal polyps, the average patient age, and the adenomatous type have increased in the Nanchang area, but inflammatory and retention types decreased.