线阵型超声内镜引导下腹腔神经丛阻滞术治疗胰腺癌性疼痛效果观察及护理体会

[摘要] Abstract：Objective To investigate the analgesic effect of linear scanning endoscopic ultrasonography guided neurolytic celiac plexus block in control of pancreatic cancer pain, and to summarize related nursing cooperative measures. Methods 〓Totally 12 advanced pancreatic cancer patients with pancreatic cancer pain were enrolled in this study from May, 2015 to March, 2017, receiving linear scanning endoscopic ultrasonography guided neurolytic celiac plexus block. The analgesic efficacy of intervention was assessed and the related postoperative nursing measures were summarized. The pain of patients was assessed by numerical rating scale(NRS). The medication use and related complication were recorded and analyzed. Results 〓The NRS scores of pain were significantly lower than that before operation at 2 days, 1 week, 2 weeks, 4 weeks and 8 weeks after operation(P<0.01). All patients did not need to continue to use analgesics at one week after operation. There was 1 case of postoperative abdominal pain observed, but relieved 3 days later. There were 3 patients with diarrhea, eating less slag food, and recovered after taking montmorillonite powder. Conclusion 〓Application of inear scanning endoscopic ultrasonography guided neurolytic celiac plexus block shows efficacy in the treatment of pancreatic cancer pain. It is also required to carry out nursing cooperative measures to ensure the success and safety of surgery.

[学科分类] 护理学

[关键词] 超声内镜;胰腺癌;腹腔神经丛;疼痛;腹腔神经丛阻滞术