[摘要] 目的 分析食管癌患者术后吻合口瘘的预防措施，总结有效的护理干预措施。 方法 方便选取2016年3月— 2018年2月在该院择期手术治疗的38例食管癌患者，按照不同护理方式采用随机抽签法分为实验组(19例，常规护理基础上实施综合护理干预)和对照组(19例，实施常规护理干预)，对比两组患者术后吻合口瘘发生率以及患者治疗依从性。 结果 实验组患者术后吻合口瘘发生率0.0%显著低于对照组15.8%(χ2=4.301，P<0.05)，实验组患者治疗依从性(94.7%)显著高于对照组(84.2%)，比较差异有统计学意义(χ2=4.012，P<0.05)。 结论 食管癌患者术后在常规护理基础上加强综合护理干预可有效预防吻合口瘘，提高患者治疗依从性，降低吻合口瘘发生率，可在临床广泛推广应用。

    [关键词] 食管癌；术后护理；吻合口瘘；综合护理；预防措施

    [中图分类号] R473 [文献标识码] A [文章编号] 1674-0742(2018)09(b)-0157-03

    [Abstract] Objective To analyze the preventive measures of postoperative anastomotic leakage in patients with esophageal cancer and to summarize effective nursing interventions. Methods 38 patients with esophageal cancer who underwent elective surgery in the hospital from March 2016 to February 2018 were convenient selected and randomly divided into experimental group according to different nursing methods (19 cases ......