贲门失弛缓症患者行内镜下贲门括约肌切开术的护理

摘要

目的：探讨内镜下贲门括约肌切开术（peroral endoscopic myotomy，POEM））治疗贲门失弛缓症（achalasia of cardia，AC）患者的护理方法。方法对85例接受POEM治疗患者给予充分的术前准备，术后重视心理疏导、疼痛护理、饮食指导、并发症处理及出院宣教。结果85例患者均成功完成POEM术，术后恢复良好，无严重并发症。术后随访1～24个月，吞咽困难均得到缓解，患者体重较术前增加1～30 kg。结论 POEM治疗AC患者前做好评估、消化道准备，术后密切观察病情，做好饮食宣教及并发症预防护理，是取得满意效果的重要保证。%Objective To summarize the experience of nursing achalasia of cardia patients after peroral endoscopicmyotomy ( POEM ) . Method Eighty-five achalasia of cardia patients were cared with careful preoperative preparation , active operational cooperation and postoperative psychological care , pain care , dietary instruction , complication treatment and discharge education . Results All patients went through POEM successfully even with severe complications. In the follow-up for 1~24 months, their dysphagia were alleviated and their weights increased by 1~30 kg. Conclusion Careful preoperative assessment and digestive tract preparation before operation and postoperative close observation, dietary education and nursing of complications are key for the successful POEM.