Subjects: Nursing >> Nursing submitted time 2023-06-12
Abstract： Objective To compare the efficacy of dual-frequency dual-pulse laser lithotripsy under endoscopic retrograde cholangiopancreatography (ERCP) and traditional endoscopic mechanical lithotripsy in the treatment of patients with common bile duct stones, and summarize perioperative nursing measures. Methods From May 2018 to May 2022, the clinical data of 200 patients with common bile duct stones who underwent ERCP treatment and lithotripsy were retrospectively analyzed, of which 69 patients were treated with dual-frequency dual-pulse laser lithotripsy (Laser group) and 131 patients were treated with mechanical lithotripsy (Mechanical group), and the success rate of stone extraction, operation time, postoperative hospital stay time and complications of two groups of patients were compared. Results There was no significant difference in baseline data such as general conditions and preoperative clinical data between two groups (P＞0.05). Neither neither Laser group nor Mechanical group had reported the perioperative death case. There were no significant difference in postoperative bleeding, postoperative pancreatitis and perforation complication rates in the two groups (P＞0.05). The surgical time in the Laser group was significantly longer than that in the Mechanical group (P＜0.05). The postoperative hospital stay was shorter in the Laser group than that in the Mechanical group(P＜0.05), and the total complication rate and stone residue rate were lower in the Laser group than those in the Mechanical group (P＜0.05). Conclusion The treatment of common bile duct stones by dual-frequency dual-pulse laser lithotripsy has better efficacy and lower complication rate than traditional surgical mechanical lithotripsy, but there is still room for improvement in the operation time.
Peer Review Status:
Awaiting Review
Subjects: Nursing >> Nursing submitted time 2023-06-12
Abstract： This paper summarizes the nursing experience of a patient who received endoscopic variceal ligation in the treatment of esophageal varices, including preoperative psychological care, instrument preparation, patient preparation, intraoperative care, postoperative general care, complication care and other targeted nursing measures. Through the comprehensive nursing mode, full preoperative preparation, close surgical cooperation, and meticulous postoperative care, the success of esophageal variceal ligation was guaranteed, the pain of patients was reduced, the patient''s symptoms were improved.
Peer Review Status:Awaiting Review
Subjects: Nursing >> Nursing submitted time 2023-01-17
Abstract：
This paper summarizes the nursing experience of a patient with ultrasound endoscopy of a small probe of gastric submucosal mass, including preoperative psychological care, device preparation, patient preparation, intraoperative nursing, postoperative care and other targeted nursing measures. Through the comprehensive nursing mode, full preoperative preparation, close surgical cooperation, and meticulous postoperative care ensure the success of ultrasound endoscopy of the small probe of submucosal tumors in the stomach, reduce the pain of patients, improve patients" symptoms, and promote their recovery.
Peer Review Status:Awaiting Review
Subjects: Nursing >> Nursing submitted time 2023-01-17
Abstract： This paper summarizes the nursing experience of gastrointestinal endoscopy in an elderly patient without intubation general anesthesia, including the indications and contraindications of painless gastrointestinal endoscopy, preoperative psychological care, instrument preparation, dietary care, intraoperative nursing cooperation, postoperative nursing and other targeted nursing measures. Through the comprehensive nursing mode, full preoperative preparation, close surgical cooperation, and meticulous postoperative care ensure the success of gastrointestinal endoscopy for elderly patients without intubation under general anesthesia, reduce patient pain, improve patient diseases, and improve the diagnosis and treatment effect and nursing satisfaction of patients with digestive tract diseases.
Peer Review Status:Awaiting Review
Subjects: Nursing >> Nursing submitted time 2022-10-21
Abstract： This paper summarizes the nursing experience of a case of endoscopic six-ring lassus in the treatment of patients with esophageal varices, including preoperative psychological care, instrument preparation, patient preparation, intraoperative care, postoperative general care, complication care and other targeted nursing measures. Through the comprehensive nursing mode, full preoperative preparation, close surgical cooperation, and meticulous postoperative care, the success of esophageal variceal ligation is guaranteed, the pain of patients is reduced, the patient""s symptoms are improved, and their recovery is promoted.
Subjects: Nursing >> Nursing submitted time 2022-10-21
Abstract： In this paper, we summarize the nursing experience of a patient with colonic broad-basal adenomatous endoscopic mucosectomy, including preoperative psychological care, instrument preparation, patient preparation, intraoperative nursing, postoperative nursing and other targeted nursing measures. Through the comprehensive nursing mode of full preoperative preparation, close surgical cooperation, and meticulous postoperative care, the success of colon adenomatous polyposis endoscopic mucosectomy is guaranteed, reducing patient pain, improving patient diseases, and promoting their recovery.
Subjects: Nursing >> Nursing submitted time 2022-10-21
Abstract： This paper summarizes the nursing experience of a patient diagnosed with biliary stenosis under SpyGlass under ERCP, including preoperative psychological care, instrument preparation, patient preparation, intraoperative nursing, postoperative general nursing, complication nursing and other targeted nursing measures. Through the comprehensive nursing model, full preoperative preparation, close surgical cooperation, and meticulous postoperative care ensure the success of SpyGlass diagnosis of biliary stenosis under ERCP, reduce patient pain, improve patient diseases, and promote their recovery.
Subjects: Nursing >> Nursing submitted time 2022-09-06
Abstract：
Objective To investigate the safety and efficacy of assisted abdominal compression during colonoscopy. Methods A total of 50 patients who came to the endoscopy center of our hospital for colonoscopy were randomly divided into 25 patients in the personnel-assisted turning without compression group (group R) and 25 cases in the abdominal group (group D) with assisted compression, and the number of abdominal discomforts and colonoscopy time during the examination of the two groups of patients were recorded in the examination procedure. The effectiveness of abdominal compressions was compared between the two groups of patients. Results There were 25 cases in the assisted turnover group without compressions (group R) and the abdominal group with assisted compressions (group D), and there was a statistically significant difference in the number of abdominal discomforts in the examination procedures (P<0.05). The difference in colonoscopy time was statistically significant (P<0.05). Conclusion The application of assisted compression of the abdomen is to further reduce the pain of colonoscopy patients and the workload of the operator in the clinic, which has a certain effect.
Subjects: Nursing >> Nursing submitted time 2022-09-06
Abstract：
Objective To investigate the care of ERCP+EST+bile duct stenting in the treatment of common bile duct stenosis. Methods A total of 70 patients admitted to our department from January 2020 to December 2021 were treated with ERCP+EST+ bile duct stenting. The nursing research experience is obtained, including preoperative nursing, intraoperative cooperation, postoperative nursing, etc. Results 70 patients improved their preoperative examinations, did a good job in psychological care and intraoperative cooperation between patients and their families, and postoperative specialized nursing improved the success rate of surgery (accounting for 92%), reduced postoperative complications (accounting for 4%), shortened the length of hospitalization (accounting for 96%), and reduced hospitalization costs (accounting for 96%). Conclusion ERCP+EST+bile duct stenting is the best treatment for common bile duct stenosis at present. Strengthening preoperative care, strict aseptic operation, proficiency in ERCP operation technology, tacit cooperation of medical care and postoperative care are the basis for ensuring the success rate of surgery.
Subjects: Nursing >> Nursing submitted time 2022-09-06
Abstract：
Objective To investigate the safety and efficacy of jejunal nutrition tubes inserted into jejunum through therapeutic mirror accessory tubes for enteral nutrition. Methods A retrospective analysis was conducted on the clinical data of 90 patients with endoscopic placement of jejunal nutrition tubes in the Oriental Hospital of Beijing University of Traditional Chinese Medicine from January 2020 to January 2022, of which 60 patients were treated with jejunal nutrition tubes placed through oral biopsy hole forceps to jejunum (referred to as therapeutic lens group), and 30 patients were nasogascopically transnasal transnasal guide filament direct vision foreign body clamp clamping jejunal nutrition tube method (referred to as nasogastrometry group). Results All 90 patients were successfully placed in the upper section of the jejunum and successfully underwent enteral nutrition. The patient tolerated well during the catheterization process, and all patients were successfully placed at once. Nasogascopic group compared with therapeutic microscope group: the catheterization time is 15-60min compared with 5-30min, and the average 30min is 15min; The average depth of the tube was (100�10)cm ratio (120�10)cm; After catheterization, all patients have a good tolerance to enteral nutrition, the nutritional status of the patient has been significantly improved, and no extubation is required due to discomfort or inability to tolerate indwelling nutritional tubes; None of the complications such as perforation, gastrointestinal bleeding, and abdominal pain occurred. Conclusion The method of placing jejunal nutrition tube under the guidance of the guide wire of the transtherapy mirror accessory pipe has the advantages of short time and deeper catheter than the method of clamping the jejunal nutrition tube under the direct view of the nasogastric lens, and also has the characteristics of small trauma, easy operation, safety and high success rate, and is convenient for nursing, easy to accept patients, and is worthy of promotion and use by clinicians.
Subjects: Nursing >> Nursing submitted time 2022-09-06
Abstract：
Objective To analyze the effect of endoscopic mucosal resection (EMR) and cold snare polypectomy (CSP) in the treatment of colon polyps. Methods A total of 200 patients with colon polyps admitted to the Oriental Hospital of Beijing University of Chinese Medicine from January 2020 to December 2020 were selected as the research objects, and 100 cases (154 polyps) were divided into EMR group (172 polyps) and 100 cases (154 polyps) in the CSP group according to the random number table method. The two groups of polyp resection time, complication rate, polyp complete resection rate, specimen recovery rate, polyp recurrence rate and polyp regeneration rate were compared and analyzed. Results 154 polyps were removed in the CSP group and 172 polyps in the EMR group, and there was no statistical significance in the comparison of the complete resection rate and specimen recovery rate in the two groups (P>0.05). The polyp excision time in the CSP group was shorter than that in the EMR group (P<0.05), and the complication rate difference between the two groups was not statistically significant (P>0.05). Six months after surgery, there was no significant difference in the incidence of polyp recurrence and polyp regeneration in the two groups (P>0.05). Conclusion CSP treatment of colon polyps can shorten the operation time, and the complete resection rate, recurrence rate, polyp regeneration rate and safety of polyps are similar to EMR.
Subjects: Nursing >> Nursing submitted time 2022-09-06
Abstract：
Objective: To analyze the effect of high-quality nursing on the improvement of outpatient blood collection quality and nursing quality. Methods: A total of 130 patients who received blood collection in the blood collection room from May 2020 to May 2022 were selected as the study objects, and the random number table method was used to divide them into observation group (65 cases) and control group (65 cases), and the quality nursing care and routine nursing were implemented respectively, and the application effects of the two nursing modes were compared. Results: The success rate of blood collection in the observation group (98.5%) was significantly higher than that of the control group (89.2%), the sample pass rate (96.9%) was significantly higher than that of the control group (87.7%), the incidence of nursing disputes (0) was significantly lower than that of the control group (6.2%), the degree of puncture pain was lower than that of the control group, and the satisfaction scores of various care care were higher than those of the control group <0.05)。 Conclusion: The application of high-quality nursing services in the outpatient blood collection room can help improve the success rate of blood collection and sample pass rate, and reduce nursing disputes, alleviate patient puncture pain, and improve their nursing satisfaction.
Subjects: Nursing >> Nursing submitted time 2022-09-06
Abstract：
Objective To compare the efficacy of dual-frequency dual-pulse laser lithotripsy under ERCP and traditional endoscopic mechanical lithotripsy in the treatment of patients with common bile duct stones. Methods From May 2018 to May 2022, the clinical data of 200 patients with common bile duct stones who underwent ERCP treatment and lithotripsy at the Digestive Endoscopy Center of Dongfang Hospital of Beijing University of Traditional Chinese Medicine were retrospectively analyzed, of which 69 patients were treated with dual-frequency dual-pulse laser lithotripsy (laser group) and 131 patients were treated with mechanical lithotripsy (mechanical group), and the success rate of stone extraction, operation time, postoperative hospital stay time and complications of 2 groups of patients were compared. Results The baseline data such as general conditions and preoperative clinical data of the two groups were basically the same (P>0.05). There were no significant differences in postoperative bleeding, postoperative pancreatitis and perforation complication rates in the two groups (P>0.05). The surgical time in the laser group was significantly longer than that in the mechanical group (P<0.05), the postoperative hospital stay was shorter (P<0.05), and the total complication rate and stone residue rate were lower (P<0.05). Conclusion The treatment of common bile duct stones by dual-frequency dual-pulse laser lithotripsy has better efficacy and lower complication rate than traditional surgical mechanical lithotripsy, but there is still room for improvement in the operation time.
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