无痛结肠镜下治疗结肠息肉电切除手术的临床护理

目的探讨无痛结肠镜下治疗结肠息肉电切除手术的临床护理方法及其效果。方法对2011年5月～2012年5月入住笔者所在医院的50例结肠息肉患者的临床资料进行回顾性分析,患者均在无痛结肠镜下进行结肠息肉电切除手术治疗的。然后对其提供科学的围手术期护理措施。结果本组患者均不存在穿孔现象,2例(占4%)带蒂息肉切除后残端出血,立即电凝止血;3例(占6%)在手术之后1d内出现微量便血症状,对出现微量便血的患者进行止血治疗,3d之内出血症状全部停止,不存在二次进镜出血的患者。对本组患者进行随访并对其进行常规的复查肠镜,原发部位并没有发现息肉存在。结论向经无痛结肠镜下治疗结肠息肉电切除手术治疗的患者提供科学的临床护理,其效果较为明显,可作为治疗的辅助手段加以推广并应用。

Clinical nursing of the treatment under painless colonoscopy of colonic polyps resection operation

Objective To explore the clinical nursing methods and effect of the application of painless colonoscopy colon polyps electric resection. Methods The clinical data of 50 cases wtih colon polyps in our hospital from May 2011 to May 2012 was retrospectively analyzed. All the patients were given electric excision surgery under painless colonoscopy colon polyps and then were provided the scientific perioperative nursing measures. Results There had no exist punch phenomenon. The stub of pedicle polyp of 2 cases (4%) with pedicle polyp were bleed after resection and had the electrocautery unit blood immediately. 3 cases (6%) appeared trace hematochezia symptoms after the surgery within 1 day, and all the bleeding symptoms stop within 3 days after hemostatic treatment. There was no secondary into mirror bleeding patients. The patients were followed up and carried on the regular review colonoscopy. No polyp existence was found in primary site. Conclusion For the colon polyps electric resection of the surgical treatment of patients with clinical nursing science, the effect of painless colonoscopy treatment is more obvious and should be as a treatment for auxiliary means to promotion and application.