凌咏 刘培

全腔镜下食管癌根治术患者的手术护理干预

凌咏 刘培

【摘要】目的 探讨全腔镜下食管癌根治术患者的手术护理方法与效果。方法 126例全腔镜下食管癌根治术患者被随机分为观察组与对照组各63例，对照组行常规护理，观察组行综合护理，对比其效果。结果 两组经护理后，对照组并发症发生率以18.6%高于观察组的6.3%；护理满意度以73.0%不及观察组的98.4%（P＜0.05）。结论 全腔镜下食管癌根治术患者给予其综合护理后的效果显著。

【关键词】食管癌根治术；全腔镜；手术护理

作者单位：210002南京，解放军八一医院胸心外科

Under the Whole Cavity Mirror Nursing Intervention of Patients With Esophageal Cancer Radical Surgery

LING Yong LIU Pei, the People's Liberation Army Bayi Hospital Chest Cardiac, Nanjing 210002, China

[Abstract]Objective To explore the full endoscopic esophageal cancer surgery method and effectiveness of surgical care patients. Methods 126 cases of full-endoscopic esophageal cancer surgery were randomly divided into observation group and control group of 63 patients in the control group underwent routine care, integrated care group were observed, compared to its effect. Results After the two groups after treatment, the control group to 18.6% complication rate was significantly higher than the 6.3% in the observation group; nursing satisfaction with 73.0% significantly less than the 98.4% observed group (P<0.05). Conclusion Full endoscopic resection of esophageal cancer were treated with comprehensive care effect after its remarkable.

[Key words]Esophageal cancer surgery, Full endoscopic, Surgical care

食管癌属临床上常见的消化道恶性肿瘤事件，近几年的调查研究结果显示其发病率呈现出逐年递增态势，因其具有较高的病死率，故而应给予患者及时有效的治疗[1]。当前，食管癌主要治疗手段为手术治疗，但传统手术因创伤大、术后恢复时间长等缺陷，逐渐被全腔镜技术所取代，其安全性与根治性均较高，在很大程度上有赖于手术护理配合[2]。本文以我院接收的126例行全腔镜治疗的食管癌患者作为研究对象，对其手术护理方法与效果进行了分析，现将具体内容报道如下。

1　资料与方法

1.1 一般资料

将我院2013年1月～2014年12月接收的126例全腔镜食管癌患者作为研究对象，所有患者均符合WHO关于食管癌的诊断标准[3]，且经胃镜等相关检查后确诊。按照数字随机分组法，将其分为对照组与观察组各63例，对照组男37例，女26例，年龄为45～72岁，平均年龄为（57.63±3.52）岁；患病类型：33例为食管上段癌，16例为食管下段癌，14例为食管中段癌；……