麻醉内镜下行胃息肉切除的护理体会(1)
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[摘要] 目的 探讨麻醉内镜下行胃息肉切除术的护理要点。方法 将106例胃息肉患者随机分为常规护理组和特异护理组，分别给予常规护理和特异护理，观察两组患者的术前紧张发生率、副反应发生率及平均住院天数，对比两组患者对护理工作的满意度。结果 特异护理组患者的术前紧张发生率和术后副反应发生率均明显低于常规护理组的患者(P<0.01)，特异护理组患者的平均住院天数较常规护理组患者均有显著缩短(P<0.01)，患者对护理工作更加满意(P<0.01)。结论 对行麻醉内镜下胃息肉切除的患者进行特异护理能减轻患者的恐惧，缩短住院天数，避免了并发症的发生，提高护理质量。
[关键词] 麻醉；内镜；胃息肉；切除；护理
[中图分类号] R735.2；473.73 [文献标识码] B [文章编号] 1673-9701(2011)35-96-02
The Nursing Experience of Gastric Polyps Resection Under Gastroscope after Anesthesia for the Patients
ZHOU Ying LI Yan GUO Xuri
Department of Gastroenterology, the Second Affiliated Hospital of Wenzhou Medical College, Wenzhou 325000， China
[Abstract] Objective To investigate the nursing experience of gastric polyps resection under gastroscope after anesthesia for the patients. Methods The 106 cases of gastric polyps were randomly divided into the usual care group and the specific care group were given routine care and care specifically, observed in patients with preoperative stress rate, incidence of side effects and the average length of stay, compared two groups of patients nursing job satisfaction. Results Specially care patients the incidence of preoperative and postoperative stress the incidence rate of side effects was significantly lower than usual care patients (P<0.01), specific care patients, the average length of hospital stay compared with usual care patients were significantly shorter (P<0.01), patients more satisfied with care (P<0.01). Conclusion Anesthesia on the lines of endoscopic resection of gastric polyps in patients with specific care can reduce fear of patients, shorter hospital stay, to avoid complications and improve quality of care.
[Key words] Anesthesia; Gastroscope; Gastric polyps; Resection; Nursing
胃息肉是指胃黏膜上皮来源的隆起性病变，临床常见，但其本身所致症状较少，多因各种原因行胃镜时才发现。胃息肉可分为炎症性息肉、增生性息肉、幼年性息肉、腺瘤性息肉等，其中腺瘤性息肉按病理可分为管状腺瘤、绒毛状管状腺瘤、绒毛状腺瘤。腺瘤性息肉具有一定的癌变率，特别是直径大于2cm的绒毛状腺瘤癌变率大于40%以上，一般建议早期切除以防止恶变。目前内镜下胃息肉切除已基本替代外科手术治疗[1]，但内镜下胃息肉切除时间较长，有痛苦感，反应大，患者常有恐惧心理，排斥内镜治疗。近年来麻醉内镜广泛开展，在专职麻醉师的配合下[2]，术中患者安静耐受、胃肠蠕动慢[3]，内镜视野稳定清晰，操作顺利，受到广大患者的欢迎。麻醉内镜下胃息肉切除术是一个医疗团队的协作，术前术后的护理以及术中的医护配合是其中一个重要组成部分。本文选取我院2008年1月以后的麻醉内镜下胃息肉切除术病例，对术前术后的护理以及术中医护配合做一探讨。
1 资料与方法 ......
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