Perioperative nursing for patients with esophageal achalasia under peroral endoscopic myotomy treatment
10.3760/cma.j.issn.1674-2907.2012.33.019
- VernacularTitle:经口内镜下食管环形肌切开术治疗贲门失弛缓症患者的围手术期护理
- Author:
Xiao-Jue QIU
1
;
Chun-Wei GUI
;
Jian LI
Author Information
1. 解放军总医院消化内科
- Keywords:
Nursing;
Esophageal achalasia;
POEM
- From:
Chinese Journal of Modern Nursing
2012;18(33):4024-4026
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the methods of perioperative care for patients with esophageal achalasia (EA) under peroral endoscopic myotomy (POEM) treatment.Methods 21 patients received nursing including preoperative health education,postoperative care,complication observation and discharge guidance.Results All 21cases of patients with EA successfully underwent POEM.3 months after operation,their Eckardt score was (1.8 ± 1.2) and LES pressure was (21.4 ± 8.6) mm Hg,both were obviously lower than before [(9.8 ±1.3) and (58.1 ± 13.5)],and the differences were statistically significant (t =34.384,15.069,respectively;P ＜ 0.05).And patients' average weight increased (6.1 ± 2.6) kg compared with before,the differences were statistically significant (Z =-3.742,P ＜ 0.05).The rate of fever was 52.3％,chest pain was 76.1％,aerodermectasia in the cervico-thoracic region was 9.5％,aerothorax was 4.7％,and no complications concerning hemorrhage of digestive tract.The successful rate of POEM was 100％.Conclusions Improving perioperative care of patients with EA is important to ensure a successful operation,which can promote the rehabilitation,reduce the recurrence,and enhance patients' quality of life.
