Nursing care of senile melanosis coli complicated with advanced rectal
cancer

doi:10.3760/cma.j.issn.1007-1245.2022.07.028

International Medicine and Health Guidance News ›› 2022, Vol. 28 ›› Issue (7): 1002-1006.DOI: 10.3760/cma.j.issn.1007-1245.2022.07.028

• Nursing Research • Previous Articles Next Articles

Nursing care of senile melanosis coli complicated with advanced rectal cancer

Wang Dianrong¹, Liu Wei¹, Wang Lanlan², Wang Qian³, Li Xiuju¹, Zhao Liping⁴

¹First Department of General Surgery, Linyi Tumor Hospital, Linyi 276000, China;
²Emergency Department, Linyi Tumor Hospital, Linyi 276000, China;
³Third Division, Department of Gynecological Oncology, Tumor Hospital Affiliated to Shandong First Medical University, Jinan 250117, China;
⁴Nursing Department, Linyi Tumor Hospital, Linyi 276000, China

Received:2021-11-16 Online:2022-04-01 Published:2022-05-06
Contact: Wang Lanlan, Email: tjw198121@163.com

老年大肠黑变病伴晚期直肠癌的护理

王佃荣¹ 刘伟¹ 王兰兰² 王倩³ 李秀举¹ 赵立平⁴

¹临沂市肿瘤医院普外一科，临沂　276000；
²临沂市肿瘤医院急诊科，临沂　276000；
³山东第一医科大学附属肿瘤医院妇科肿瘤三病区，济南　250117；
⁴临沂市肿瘤医院护理部，临沂　276000

通讯作者: 王兰兰，Email：tjw198121@163.com

Abstract

Abstract: Objective　To summarize the perioperative nursing of an elderly patient with melanosis coli (MC) and advanced rectal cancer. Methods　A patient with MC and advanced rectal cancer received perioperative nursing, and the literatures were studied. Results　Preoperative individualized comprehensive evaluation was performed, pulmonary function exercise was strengthened, and effective psychological intervention and adequate intestinal preparation were taken. Reasonable postoperative nutritional support was given, multi-mode analgesic strategy was implemented, pipeline nursing was strengthened, the nursing of melanosis colostomy was paid attention to, the disease changes was closely observed, the complications were actively prevented and treated, and the health education and guidance were strengthened. After 19 days' careful treatment and nursing, the patient recovered and was discharged from the hospital. Conclusions　MC is rare in clinic, and it is rarely reported that it is associated with rectal cancer. The perioperative nursing was summarized for clinical references.

Key words: Colorectal melanosis, Rectal cancer, The elderly, Perioperative nursing, Hartmann's procedure, Enterostomy

摘要： 目的　总结1例老年大肠黑变病（melanosis coli，MC）合并晚期直肠癌的围术期护理。方法　对1例MC合并晚期直肠癌的患者做好围术期护理并进行文献学习。结果　术前个体化综合评估，加强肺功能锻炼，进行有效的心理干预和充分的肠道准备。术后合理的营养支持，实施多模式镇痛策略，加强管路护理、注重黑变结肠造口护理，密切观察病情变化，积极防治并发症，加强健康宣教指导。经过19 d的精心治疗和护理，患者康复出院。结论　MC临床少见，伴发直肠癌也罕有报道，总结其围术期护理，为临床提供参考。

关键词: 大肠黑变病, 直肠癌, 老年, 围术期护理, Hartmann术, 肠造口

Wang Dianrong, Liu Wei, Wang Lanlan, Wang Qian, Li Xiuju, Zhao Liping. Nursing care of senile melanosis coli complicated with advanced rectal cancer[J]. International Medicine and Health Guidance News, 2022, 28(7): 1002-1006.

王佃荣, 刘伟, 王兰兰, 王倩, 李秀举, 赵立平. 老年大肠黑变病伴晚期直肠癌的护理[J]. 国际医药卫生导报, 2022, 28(7): 1002-1006.

References

[1] 蔡娟,章菲菲.结肠黑变病PET-CT显像1例[J].武警医学,2021,32(4):345-347. DOI:10.3969/j.issn.1004-3594. 2021.04.019.

[2] Yuan S, Wang P, Zhou X, et al. Differential proteomics mass spectrometry of melanosis coli [J]. Am J Transl Res, 2020, 12(7):3133-3148.

[3] Lombardi N, Bettiol A, Crescioli G, et al. Association between anthraquinone laxatives and colorectal cancer: protocol for a systematic review and meta-analysis [J]. Syst Rev, 2020, 9(1): 19. DOI: 10.1186/s13643-020- 1280-5.

[4] 张邢柯,田应选,孙莉.老年综合评估在老年癌症患者疼痛管理中的应用进展[J].现代肿瘤医学,2021,29(3):528-530. DOI:10.3969/j.issn.1672-4992.2021.03.038.

[5] 路琴,季红莉,黄慧,等.老年综合评估及干预在改善老年便秘患者生活质量中的作用[J].中国临床保健杂志,2021,24(2):221-224. DOI:10.3969/J.issn.1672-6790.2021. 02.017.

[6] 孙叶飞,张敬浩,周禹晗.快速康复护理在腹腔镜结直肠癌根治术患者围术期的应用[J].中国医科大学学报,2019,48(9):848-851. DOI:10.12007/j.issn.0258-4646. 2019. 09.018.

[7] 樊雪芹.预见性护理对腹腔镜下结直肠癌手术患者术后谵妄的影响[J].实用临床医药杂志,2015,(6):59-61. DOI:10.7619/jcmp.201506019.

[8] 柯雪萍,叶依霞,司徒树标,等.老年人结肠黑变病临床特点[J].临床消化病杂志,2019,31(5):316-319. DOI:10.3870/lcxh.j.issn.1005-541X.2019.05.11.

[9] Kassim SA, Abbas M, Tang W, et al. Retrospective study on melanosis coli as risk factor of colorectal neoplasm: a 3-year colonoscopic finding in Zhuhai Hospital, China [J]. Int J Colorectal Dis, 2020, 35(2): 213-222. DOI: 10.1007/s00384-019-03435-7.

[10] 田华,汪和明,黄艳春,等.大肠黑变病的临床及内镜特征分析[J].现代消化及介入诊疗,2014,(1):49-51. DOI:10.3961/j.issn.1672-2159.2014.01.013.

[11] Abu Baker F, Mari A, Feldman D, et al. Melanosis coli: a helpful contrast effect or a harmful pigmentation? [J]. Clin Med Insights Gastroenterol, 2018, 11: 1179552218817321. DOI: 10.1177/1179552218817321.

[12] 李桂芹. 结肠黑变病对大肠息肉及大肠癌的影响[D]. 石河子:石河子大学,2018.

[13] 郁强. 结肠黑变病的发病特点及与结肠癌相关性的临床和实验研究[D].北京:北京中医药大学,2018.

[14] 刘祥瑞,张英剑,刘晓敏,等.中国大陆结肠黑变病发生率及伴发危险病变的Meta分析[J].医药前沿,2020,10(8):221-222.

[15] 蒋义贵,张生君,黄跃,等.结直肠黑变病与肿瘤的关系分析[J].国际消化病杂志,2009,29(6):426-427. DOI:10.3969/j.issn.1673-534X.2009.06.021.

[16] 辛红.腹腔镜直肠癌根治术对胃肠功能及肛肠动力学的影响[J].中外医疗,2019,38(4):63-65. DOI:10.16662/j.cnki.1674-0742.2019.04.063.

[17] 李波.腹腔镜结直肠癌根治术对结直肠癌患者凝血功能及血清ET和CRP水平的影响[J].国际医药卫生导报,2020,26(2):223-225. DOI: 10.3760/cma.j.issn.1007-1245. 2020. 02.022.

[18] 戴晨,陆大浩,高巨,等. 老年腹腔镜胃肠肿瘤手术患者术前长期睡眠障碍与术后谵妄的关系[J]. 国际麻醉学与复苏杂志,2021,42(11):1170-1174. DOI:10.3760/cma.j.cn321761-20210712-00411.

[19] 韩晴晴,罗艳.术后谵妄相关生物标志物的研究进展[J].国际麻醉学与复苏杂志,2020,41(1):121-124. DOI:10.3760/cma.j.issn.1673-4378.2020.01.026.

[20] 张其良,杨倩,王浩,等.结肠黑变病合并结肠气囊肿、气腹征一例[J].中华消化杂志,2020,40(5):352-353. DOI:10.3760/cma.j.cn311367-20181004-00508.

[21] 巫绍汝,吴婷婷,孙艳,等.右美托咪定对腹腔镜行结直肠癌手术老年患者术后疼痛及应激反应的影响[J].中华老年医学杂志,2021,40(11) :1417-1420. DOI:10.3760/cma.j.issn.0254-9026.2021.11.016.

[22] 黄平,胡维书,李尊柱,等.1例直肠癌术后感染性休克合并肺不张患者的精准护理[J].重庆医学,2020,49(11):1881-1883. DOI:10.3969/j.issn.1671-8348.2020.11.036.

[23] 余倩.术后护理干预对直肠癌造口术后患者自我护理能力及病耻感的影响[J].国际护理学志,2020,39(3):542-545. DOI:10.3760/cma.j.issn.1673-4351.2020.03.050.

Nursing care of senile melanosis coli complicated with advanced rectal cancer

老年大肠黑变病伴晚期直肠癌的护理

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