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超声引导下组织学穿刺活检的护理配合

作者:赖伟芬 杨 婷

所属单位:广东省深圳市龙岗区第三人民医院 (广东 深圳 518115)

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摘要

目的 探讨超声引导下组织学穿刺活检的护理配合。方法 选取我院2017年11月20日-2018年12月20日收治的63例行 超声引导下组织学穿刺活检患者为研究对象,采用随机数字表方法分为观察组(33例)和对照组(30例),对照组予 以常规处理措施,观察组在对照组的基础上予以护理配合,采用视觉疼痛模拟评分(VAS)、焦虑自评量表(SAS)及 抑郁自评量表(SDS)评估两组的身体不适感及负性情绪,比较两组的穿刺完成情况及穿刺成功情况、并发症发生情 况。结果 观察组的VAS、SAS、SDS评分显著低于对照组(P<0.05);观察组的穿刺完成率为84.85%,穿刺成功率 为60.00%,均显著高于对照组的穿刺完成率(75.76%)及穿刺成功率(40.00%)(P<0.05);观察组的并发症发生率 (6.06%)显著低于对照组(26.67%)(P<0.05)。结论 超声引导下组织学穿刺活检予以恰当的护理配合能够改善患者 负性情绪、缓解身体不适感,提高穿刺成功率,降低并发症的发生。

Objective To explore the nursing cooperation of ultrasound-guided histological biopsy. Methods 63 patients who underwent ultrasound-guided histological biopsy from November 20, 2017 to December 20, 2018 in our hospital were selected for the study and were divided into observation group (33 cases) and control group (30 cases) according to the random number table method. Control group was given routine treatment measures, and observation group was given nursing cooperation on the basis of control group. The pain visual analogue score (VAS), self-rating anxiety scale(SAS) and self-rating depression scale(SDS) were used to evaluate the biliousness and negative emotions in the two groups. The completion of puncture and the success of puncture and occurrence of complications were compared between the two groups. Results The scores of VAS, SAS and SDS in observation group were significantly lower than those in control group(P<0.05). The puncture completion rate and puncture success rate were 84.85% and 60.00% in observation group, which were significantly higher than those in control group with 75.76% and 40.00%(P<0.05). The incidence rate of complications in observation group was significantly lower than that in control group(6.06% vs 26.67%) (P<0.05). Conclusion Ultrasound-guided histological biopsy can improve negative emotions, relieve biliousness, improve puncture success rate and reduce occurrence of complications.

【关键词】超声引导;穿刺活检;护理

【中图分类号】R445.1

【文献标识码】A

【DOI】10.3969/j.issn.1009-3257.2019.03.034

前言

超声引导下组织学穿刺活检是指在超声导视下利 用活检枪或活检针对病灶组织进行穿刺,并从活体获 取病变组织以进行病理诊断的一种检查方法[1]。由于 其在显示消化道黏膜及邻近解剖结构方面的优势,近 年来该技术广泛运用于多种器官脏器占位性病变的诊 断鉴别,常规检查难以获得病理组织标本,但在超 声引导下则能够明显提高获取病理组织标本的成功 率[2-3]。该检查方法价格相对低廉、创伤小、出血 少、操作简单且具有较强的重复性,因此具有较高 的临床运用价值,但如何提高穿刺成功率、有效避免 并发症的发生同样也是临床关注重点,同时由于患者在检查过程中存在较强的不舒适感,精神压力较大, 易产生焦虑、抑郁、紧张等负性情绪,影响穿刺效 果[4-5],因此针对行超声引导下组织学穿刺活检患者 予以合理护理措施,对于提高检查成功率并降低并 发症的发生至关重要。既往关于超声引导下组织学 穿刺活检的护理配合方面的文献较为鲜见,因此本研 究旨在探讨超声引导下组织学穿刺活检的护理配合措 施,详细报告如下。