孙萌

【摘 要】目的：探析胸腔镜下食管癌根治术患者围手术期实施优质护理的效果。方法：将2017年1月～2019年1月在我院行腹腔镜食管癌根治术的72例患者选为研究对象，采用随机数表法分为对照组（n=36）与研究组（n=36）。对照组实施常规护理，研究组实施优质护理，对两组各项临床指标与并发症进行统计比较。结果：研究组手术时间、住院时间短于对照组，术中出血量少于对照组，淋巴结清除个数多于对照组，并发症发生率低于对照组，对比差异显著（P<0.05）。结论：胸腔镜下食管癌根治术患者围手术期实施优质护理后，可显著减少并发症，加快康复，值得临床深入研究与借鉴应用。

【关键词】胸腔镜;食管癌根治术;围手术期;优质护理

【中图分类号】R473.73 【文献识别码】B 【文章编号】1002-8714（2019）11-0010-01

【Abstract】 Objective： To investigate the effect of quality nursing in perioperative period of patients undergoing radical resection of esophageal carcinoma under thoracoscope. Methods： A total of 72 patients who underwent laparoscopic radical resection of esophageal carcinoma in our hospital from January 2017 to January 2019 were selected as research objects， and were divided into control group （n=36） and research group （n=36） by random number table method. The control group was given routine nursing， the research group was given quality nursing， and the clinical indicators and complications of the two groups were statistically compared. Results： The operation time and hospitalization time of the study group were shorter than that of the control group， the amount of intraoperative blood loss was less than that of the control group， the number of lymph node clearance was more than that of the control group， and the incidence of complications was lower than that of the control group， with significant difference （P<0.05）. Conclusion： Patients undergoing thoracoscopic radical resection of esophageal cancer can significantly reduce complications and accelerate recovery after quality nursing during perioperative period， which is worthy of in-depth clinical research and reference.

【Key words】 thoracoscopy; Radical resection of esophageal carcinoma; Perioperative period; High quality care

食管癌是消化道系統中较为常见的一种肿瘤疾病，多采用手术方法进行治疗[1]。

随着微创技术的不断发展与进步，胸腔镜食管癌根治术应用越来越普遍，且效果显著，具有创伤轻、出血量少等优势，加之围手术期护理的实施，可进一步改善临床效果。本文现对72例食管癌患者进行分析，研究围手术期优质护理的实施效果。报道如下：

1 资料与方法

1.1 一般资料

将2017年1月～2019年1月在我院行腹腔镜食管癌根治术的72例患者选为研究对象，采用随机数表法分为对照组（n=36）与研究组（n=36）。对照组中，女17例，男19例;年龄43～71岁，平均（53.24±4.43）岁。研究组中，女18例，男18例;年龄42～71岁，平均（53.12±4.33）岁。两组一般资料比较差异不显著（P>0.05）。

1.2 方法

对照组实施常规护理，即协助患者完成各项检查，密切观察各项指标，指导患者取恰当体位，给予适当的心理疏导与饮食指导，保证手术顺利完成。在此基础上，研究组实施优质护理，即①术前护理：积极和患者交流，给予患者充分的心理支持与疏导，并对患者及其家属展开健康宣教，说明手术目的、过程及注意事项等，提高患者认知，以此积极配合手术治疗。②……