ESD治疗消化道隆起性病变的临床护理

摘要

Objective:To research clinical care of ESD treatment of gastrointestinal elevated lesion. Method:Selected the digestive tract were treated in our hospital from September 2005 to March 2013 elevated lesions(lesions greater than 2 mm)who used ESD for treatment of patients with 60 cases,Which were divided into experimental and control groups. Control group 30 cases used routine nursing,the experimental group 30 cases in conventional based used ESD special nursing care,compared the clinical efficacy and complications of the two groups. Result:After ESD treatment and careful nursing,60 patients with gastrointestinal elevated were removed and cured,the cure rate was 100%. Experimental group hospitalization time was (6.23±1.34)d,2 cases of bleeding. The control group of hospital stay was(10.34 1.76)d,6 cases of bleeding,3 cases of intestinal perforation. These indicators between the two groups had statistical significance(P<0.05). No patient experienced adverse reactions. Conclusion:ESD special care can significantly reduce the length of hospital stay,improve clinical outcomes and reduce the incidence of adverse reactions,it is widely in clinical.%目的：对ESD治疗消化道隆起性病变的临床护理进行研究。方法：选取2005年9月-2013年3月本院收治的消化道隆起性病变（病灶大于2 mm）行ESD治疗的患者60例，随机分为实验组和对照组。对照组30例行常规护理，实验组30例在常规护理基础上行ESD专项护理。观察比较两组患者的临床疗效及术后并发症的发生情况。结果：经过ESD治疗和精心护理后，60例患者消化道隆起全部切除并治愈，治愈率为100%；实验组住院时间（6.23±1.34）d，术后并发症2例；对照组住院时间（10.34±1.76）d，术后并发症9例，两组上述指标比较差异具有统计学意义（P<0.05）。所有患者均未出现不良反应。结论：ESD专项护理能够显著减少患者住院时间，提高临床疗效并降低不良反应的发生，值得在临床中广泛推广。