【摘要】 目的探讨晚期食管癌经内镜下氩气刀联合局部分点注射5-FU加无水酒精治疗和经制定护理措施后,对改善患者的生活质量,提高护理满意度的效果。方法对48例晚期食管癌患者,分为治疗组和对照组各24例,对照组行内科晚期食管癌传统常规护理模式及保守治疗;治疗组在传统护理模式的基础上加用专科护理及氩气刀联合5-FU加无水酒精治疗,比较两组的生活质量及护理满意度。结果治疗组24例晚期食管癌患者在内镜下给予氩气刀2～3次烧灼联合分点局部注射5-FU加无水酒精经密切医护配合及专科护理,均获得满意疗效,生活质量改善,护理满意度明显提高,治疗组明显优于对照组,两组差异有统计学意义(P<0.05)。结论内镜下氩气刀联合分点局部注射5-FU加无水酒精治疗晚期食管癌及癌性狭窄,经密切医护配合,充分的术前准备,术中术后护理,是手术成功的护理关键,可达到改善生活质量的目的,可在临床推广应用。更多还原

【Abstract】 Objective To explore the nursing care of esophageal cancer after treatment with Argon plasma coagulation combined 5-FU plus anhydrous alcohol.Methods 48 cases of patients with advanced esophageal cancer were divided into treatment group and control group,24 cases each.The control group underwent internal medicine advanced esophageal conventional care model and conservative treatment;treatment group on the basis of the traditional model of care plus specialist care and argon the air knives joint 5-FU plus anhydrous alcohol treatment,the two groups were compared quality of life and care satisfaction.Results 24 patients with advanced esophageal cancer,including endoscopic given 2-3 times a burning joint points of argon plasma coagulation local injection of 5-FU plus anhydrous alcohol Satisfactory results were obtained by the close of health care co-ordination and specialist care,and improved quality of life,care satisfaction significantly improve the treatment group was significantly better than the control group,the difference was statistically significant(P<0.05).Conclusion Endoscopic argon plasma coagulation combined points local injection of 5-FU plus absolute alcohol treatment of advanced esophageal cancer narrow tie after the close of health care,adequate preoperative preparation,intraoperative and postoperative care,care key for successful operation,can achieve the purpose of improving the quality of life,and is easy for clinical application.更多还原