內鏡下止血夾用于結腸粗蒂息肉切除時出血的護理

[摘要] 目的 研究探討止血夾預防內鏡下結腸粗蒂息肉切除時出血的護理。 方法 調查在2011年6月～2012年3月之間來筆者所在醫院治療反復便血、腹痛、腹瀉等病情的患者，從其中抽取30例患者，經過結腸鏡檢查蒂息肉直徑>0.5 cm，全部都采用止血夾救治，患者的病情差異無統計學意義（P>0.05），具有可分析性。對患者進行手術前、手術中、手術后進行全面的護理。對患者的心理護理和健康教育要加強，注意調節患者的飲食。 結果 將結腸粗蒂息肉切除的手術進行很順利，切面均呈現理想的狀態，并且經過一系列的護理患者恢復良好，無并發癥現象產生，止血成功率達到100%，患者滿意度高，均早日康復出院。 結論 止血夾預防內鏡下結腸粗蒂息肉切除時出血的護理，可以有效保證患者的健康，提高患者的滿意度，促進患者早日出院。

[關鍵詞] 止血夾；內鏡下結腸粗蒂息肉切除；預防出血的護理

[中圖分類號] R473.6 [文獻標識碼] B [文章編號] 2095-0616（2012）22-135-02

The endoscopic hemostatic clamp care for colon coarse pedicle polypectomy bleeding

LI Yanrong LI Huijun

Department of Microscopy，Panshi Hospital of Jilin Province，Panshi 132300，China

[Abstract] Objective To study and explore the care methods that hemostatic clamp care for colon coarse pedicle polypectomy bleeding. Methods 30 patients with repeated hemafecia，abdominal pain，diarrhea and other illness in the author's hospital from June 2011 to March 2012，after colonoscopy the polyps' diameter were greater than 0.5 cm， all the patients were treated by hemostatic clamp，the patients' conditions had no significant difference.Given the patients comprehensive care throughout the procedure，strengthen the patients' psychological care and health education，noted to adjust the patients' diet. Results The intestinal coarse polyps resection operation went very well，the beveling all presented ideal state，it had a good recovery after a series of care，the patients all had no complications.Hemostatic success rate was 100%，patients' satisfaction was high，can recovery and discharge early. Conclusion The care methods that hemostatic clamp in the prevention of endoscopic colon coarse pedicle polypectomy bleeding can guarantee the patients’ health，improve their satisfaction and make they discharge early.

[Key words] Hemostatic clamp；Endoscopic colon coarse pedicle polypectomy；Prevention of bleeding care

結腸粗蒂息肉是消化系統常見疾病之一，結腸粗蒂息肉的常規治療方法是外科手術的切除治療，近幾年隨著內鏡技術的發展，治療方式也在不斷的革新，在內鏡直視下進行手術操作簡單方便，安全性比較高，因此結腸粗蒂息肉在內鏡下進行電凝電切術是目前治療結腸息肉的首選方法，由于粗蒂息內切除時容易發生出血和腸壁穿孔等現象，一定的出血率存在，因此利用止血夾預防出血的護理逐漸被重視起來[1]。

止血夾的使用過程中……