Nursing cooperation and emergency management of intraoperative bleeding in Endoscopic Submucosal Dissection (ESD)
内镜下黏膜剥离术（ESD）术中出血的护理配合与应急管理

摘要

目的 分析内镜下黏膜剥离术（ESD）患者术中出血时的护理配合以及应急管理。方法 选取2024年1月-2024年12月内收治的80例ESD术中出血患者作为试验对象，1:1分为实验组、对照组，均40例。对照组接受常规ESD手术治疗以及护理，实验组给予告知护理配合与应急管理，对比效果。结果 实验组术中出血量更少，且手术时间、排气时间、下床时间、住院时间短于对照组；实验组心率（HR）、平均动脉压（MAP）、血清皮质醇（Cor）、去甲肾上腺素（NE）低于对照组，P＜0.05。结论 对ESD术中出血患者进行优质护理配合与应急管理，可减少出血量，缩短患者的住院时间，促使患者手术顺利进行，减轻患者的应激程度，有助于患者康复。

Abstract

Objective To analyze the nursing cooperation and emergency management during endoscopic submucosal dissection (ESD) in patients with intraoperative bleeding.
Methods A total of 80 patients with intraoperative bleeding during ESD from January 2024 to December 2024 were selected as the experimental subjects and were randomly divided into the experimental group and the control group at a ratio of 1:1, with 40 cases in each group. The control group received conventional ESD surgical treatment and nursing care, while the experimental group was given informed nursing cooperation and emergency management. The effects were compared.
Results The experimental group had less intraoperative bleeding, and the operation time, exhaust time, time to get out of bed, and hospital stay were shorter than those in the control group. The heart rate (HR), mean arterial pressure (MAP), serum cortisol (Cor), and norepinephrine (NE) in the experimental group were lower than those in the control group, P < 0.05.
Conclusion   Providing high-quality nursing cooperation and emergency management for patients with intraoperative bleeding during ESD can reduce bleeding volume, shorten hospital stay, facilitate the smooth progress of the surgery, reduce the patient's stress level, and contribute to the patient's recovery.