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目的探讨对接受高频电凝电切术的患者术后实施延续性护理的临床效果。方法 50例接受高频电凝电切术治疗的结肠息肉患者,采用随机分组的方法将50例患者分为观察组和对照组,每组25例。对照组患者实施常规护理,观察组患者在对照组基础上实施术后延续性护理。比较两组患者的术后出血率和1年期息肉再发率。结果两组患者在术后均未来出现穿孔的情况,观察组患者术后出血1例,出血率为4.00%;对照组患者术后出血6例,出血率为24.00%。观察组患者术后出血率低于对照组,差异具有统计学意义(χ~2=4.153,P<0.05)。观察组患者术后1年期息肉再发率为4.00%(1/25),对照组患者术后1年期息肉再发率为28.00%(7/25)。观察组患者1年期息肉再发率低于对照组,差异具有统计学意义(χ~2=5.357,P<0.05)。结论高频电凝电切术治疗结肠息肉具有较好的临床效果,辅以延续性护理则能有效控制患者的术后出血和再发情况,方法值得借鉴。
Objective To investigate the clinical effect of continuous nursing care in patients undergoing electrosurgical excision of high frequency. Methods Fifty patients with colonic polyp treated with electrosurgical excision of high frequency were randomly divided into observation group (50 cases) and control group (25 cases). Patients in the control group were given routine care, and patients in the observation group were given continuous postoperative care on the basis of the control group. Postoperative bleeding and 1-year polyp recurrence were compared between the two groups. Results Perforation occurred in both groups after surgery. One patient had postoperative bleeding in the observation group with a bleeding rate of 4.00%. Six patients died in the control group with a bleeding rate of 24.00%. The bleeding rate in the observation group was lower than that in the control group, the difference was statistically significant (χ ~ 2 = 4.153, P <0.05). The 1-year postoperative polyp recurrence rate was 4.00% (1/25) in the observation group, and the one-year polyp recurrence rate was 28.00% (7/25) in the control group. The recurrence rate of one-year polyp in observation group was lower than that in control group, the difference was statistically significant (χ ~ 2 = 5.357, P <0.05). Conclusion High-frequency electrocoagulation resection of colonic polyps has a good clinical effect, supplemented by continuous care can effectively control the patient’s postoperative bleeding and recurrence, the method is worth learning from.