内镜下套扎联合组织胶注射治疗食管胃底静脉曲张患者的观察与护理

摘要

Objective To explore the efficacy and nursing of endoscopic ligation combined tissue glue injection on the treatment of patients with esophageal varices. Methods 52 patients with the joint tissue glue injection perioperative surgical treatment were given endoscopic ligation and targeted integrated care. Results 52 patients, two cases of emergency endoscopy downstream ligation and tissue glue injection therapy, successful hemostasis. Another 43 cases were given elective treatment. Intraoperative vital signs are stable, no bleeding, choking, and cardiac arrhythmias happening. With 6-month follow-up, the total effective rate of 96.2%. Conclusions That endoscopic variceal ligation combined tissue glue injection treatment of esophageal varices has efficacy exact, while the nursing including well preoperative care, operative cooperation and disease after observation is better to ensure that operations proceed smoothly and efficacy.%　　目的探讨内镜下套扎联合组织胶注射治疗食管胃底静脉曲张患者的围术期护理。方法对52例施行内镜下套扎联合组织胶注射手术治疗的患者围术期进行有针对性综合护理。结果52例患者有2例为急诊胃镜下行套扎及组织胶注射治疗，成功止血。另43例为择期治疗。术中生命体征平稳，无大出血、窒息、心律失常等情况。随访6个月时，总有效率96.2%。结论内镜下套扎联合组织胶注射治疗食管胃底静脉曲张疗效确切，而做好术前护理、术中配合及术后病情观察，可更好地保证操作的顺利进行及疗效。