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目的探讨经口内镜下食道环形肌切开术治疗贲门失驰缓症患者时精细化护理在围术期的作用与价值。方法对24例本院2015年2月—2017年3月收治的经口内镜下食道环形肌切开术治疗的贲门失驰缓症患者进行研究,按照随机数字法分组,实验组与对照组各12例。对照组采用常规围术期护理,实验组采用精细化护理,比较两组并发症发生率、吞咽障碍改善率与护理满意度。结果实验组护理满意度为91.67%,吞咽障碍改善率为83.33%,并发症发生率为8.33%,对照组护理满意度、吞咽障碍改善率与并发症发生率分别为50.00%、33.33%、58.33%,组间差异具有统计学意义(P<0.05)。结论精细化护理不仅可降低贲门失驰缓症患者并发症发生率,也可提高其吞咽障碍改善率与护理满意度。
Objective To investigate the role and value of meticulous care in perioperative period of patients undergoing endoscopic esophagectomy for the treatment of cardia dementia. Methods Twenty-four patients with cardia dementia underwent endoscopic esophagectomy for the treatment of cardia in our hospital from February 2015 to March 2017 were studied. According to the random number method, the patients in the experimental group and the control group 12 cases in each. The control group was treated with conventional perioperative nursing. The experimental group was treated with meticulous care. Complication rates, dysphagia and nursing satisfaction were compared between the two groups. Results The satisfaction rate of nursing in experimental group was 91.67%, dysphagia was 83.33%, and complication rate was 8.33%. The nursing satisfaction, swallowing dysfunction rate and complication rate in control group were 50.00%, 33.33%, 58.33 %, The difference between the groups was statistically significant (P <0.05). Conclusion The meticulous nursing can not only reduce the incidence of complications in patients with cardia dementia, but also improve the rate of improvement of swallowing disorders and nursing satisfaction.