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目的:探讨行口内镜下食管括约肌切开术(POEM)的贲门失弛缓症(AC)患者围术期护理方法。方法:对18例实施POEM手术的患者予以完善术前准备、强化术中配合,加强术后并发症的观察和预防等围术期护理。结果:18例患者POEM术顺利,术后当天患者即下床行走,第2天顺利进食流质,第4天开始进食半流质,平均住院5~7 d。与术前相比,吞咽困难症状得到明显改善。术后随访3~6个月,食管下端括约肌压力为(10.4±1.2)mm Hg,明显低于术前的(20.6±2.1)mm Hg,平均体重比术前增加(5.6±1.9)kg,差异均有统计学意义(P<0.05)。结论:POEM术是一项新开展的高难度微创手术,护士为患者实施完善的围手术期护理是确保手术成功的重要因素。
Objective: To explore the perioperative nursing of patients with achalasia of achalasia undergoing endoscopic esophageal sphincterotomy (POEM). Methods: 18 cases of patients undergoing POEM surgery to improve the preoperative preparation, and strengthen intraoperative cooperation, to strengthen postoperative complications such as observation and prevention perioperative nursing. Results: POEM was successful in 18 patients. On the day after operation, the patients walked out of bed and began to drink liquid on the second day. Semi-liquid began to eat on the fourth day, with an average stay of 5 to 7 days. Compared with preoperative, dysphagia symptoms have been significantly improved. The postoperative follow-up of 3 to 6 months showed that the lower esophageal sphincter pressure was (10.4 ± 1.2) mm Hg, which was significantly lower than that of the preoperative (20.6 ± 2.1) mm Hg and the average body weight was 5.6 ± 1.9 kg All were statistically significant (P <0.05). CONCLUSION: POEM is a new and highly invasive minimally invasive surgery. Nurses’ perioperative nursing is an important factor to ensure successful operation.