摘要
目的 分析多功能胃肠管在内镜黏膜下剥离术（Endoscopic submucosal dissection,ESD）后的护理效果,为临床护理提供参考.方法 选取本院消化内科ESD术后患者60例为研究对象,随机分为观察组和对照组各30例,观察组患者ESD术后留置多功能胃肠管,对照组患者ESD术后留置普通胃管,观察两组患者的护理效果.结果 观察组患者咽喉不适评分（1.96±0.38）和腹痛评分（2.03±0.41）均显著低于对照组咽喉不适评分（2.87±0.69）和腹痛评分（3.28±0.64）（P＜0.05）.观察组患者再次行外科手术发生率与对照组差异不明显（P〉0.05）,并发症发生率差异不明显（P＜0.05）.观察组患者肛门首次排气时间（1.05±0.37）d显著短于对照组（2.39±0.42）d,差异有统计学意义（P＜0.05）,观察组患者置管时间（3.02±0.94）d显著短于对照组（4.13±0.87）d,差异有统计学意义（P＜0.05）.结论 内镜黏膜下剥离术后采用多功能胃肠管护理能够减轻患者咽喉不适和腹痛,促进患者胃肠功能恢复,具有使用价值.
Objective To analyze the nursing effect of multifunctional gastrointestinal tube for endoscopic sub-mucosal dissection （ ESD） , and provide references for clinical care. Methods A total of 60 patients of the gastroen-terology department in our hospital who received ESD were selected, and were randomly divided into observation group and control group, 30 cases in each group. The patients of the observation group were given the multifunctional gastro-intestinal tube after ESD, while the patients of the control group were given the common tube after ESD. The care effect of patients of the two groups were compared. Results The throat irritation score （1. 96±0. 38） and abdominal pain score （2. 03±0. 41） of the observation group were significantly lower than that of the control group, and the throat dis-comfort score of the control group was （2. 87±0. 69） and abdominal pain score was （3. 28±0. 64） （P＜0. 05）. There was no obvious difference in terms of doing surgery for the second time between the observation group and the control group （ P＞0. 05 ） , and there was no obvious difference in terms of the incidence of complications （ P＜0. 05 ） . The first anal exhaust time （1. 05±0. 37） days of the observation group was significantly shorter than that of the control group （2. 39±0. 42） days （P＜0. 05）, the catheter time of the observation group was （3. 02±0. 94） days, which was signifi-cantly shorter than than that of the control group （ 4. 13 ± 0. 87 ） days, and the difference was statistically significant （ P＜0. 05 ） . Conclusion The implementation of multifunctional gastrointestinal tube for endoscopic submucosal dissec-tion can reduce patients＇ discomfort of throat and abdominal pain, promote the recovery of gastrointestinal function of pa-tients. It is worth application.
作者
谢清云
张立力
Xie Qingyan Zhang Lili(Department of Gastroenterology, Southern Medical University in Guangzhou , Guangdong Province, Guangzhou 510515, China)
出处
《国际护理学杂志》
2017年第4期445-447,451,共4页
international journal of nursing
基金
广东省佛山市卫生和计生局科研课题（2015307）
关键词
内镜黏膜下剥离术
多功能胃肠管
胃肠功能
咽喉不适
Endoscopic submucosal dissection
Multifunctional gastrointestinal tube
Gastrointestinal func-tion
Throat discomfort
