体位及药物综合干预对食管ESD术后食管狭窄的影响

Zhongxiyi Jiehe Huli (Zhong-Yingwen Ban)

何莉云¹ 

关键词: 体位;    糖皮质激素;    内镜黏膜下剥离术;    食管狭窄;    胃食管反流;   

DOI  :  10.11997/nitcwm.201806009

学科分类：护理学

来源: Shanghai Jiao Tong University Press

【 摘 要 】

Abstract：Objective To investigate the effect of comprehensive interventions of position and medication on esophageal strictures after endoscopic submucosal dissection. Methods 〓Totally 80 patients undergoing endoscopic submucosal dissection between January, 2011 and January 2016 were included and randomly divided into four groups: control group(n=20, routine nursing), study group 1(n=20, routine care and position intervention), study group 2(n=21, routine care and medication intervention)and group 3(n=21, routine care and comprehensive interventions). Results 〓Postoperative histopathology showed esophageal strictures in 15 cases(6 cases in control group, 4 cases in study group 1, 3 cases in study group 2, 2 cases in study group3). There was no case with moderate to severe extent of esophageal stenosis in study group 1 and study group 3. According to the Stooler's dysphagia score, 9 cases were classified as grade 1-2 in three study groups. Conclusion 〓The comprehensive interventions of position and medication can effectively prevent the esophageal strictures after endoscopic submucosal dissection.

【 授权许可】

CC BY-NC