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食管癌是胸外科的常见恶性肿瘤之一，男性居多，手术是食管癌的主要治疗方法[1]，随着人们生活水平的提高，人均寿命增加，高龄患者越来越多[2]。由于老年患者免疫力下降，并有不同程度的心肺等重要器官病变，对手术和麻醉的耐受力差，加之癌肿造成食管梗阻致患者进食受限，常有不同程度的营养不良及水电解质失衡等，使患者对手术及术后康复具有焦虑、巩惧等心理，影响患者恢复。因此，加强围手术期的心理护理是治疗成功的重要因素之一，近年来我科根据老年患者的心理特点，结合实际，采取有效的护理措施，取得了良好的效果。“,”Esophageal carcinoma is one of the common malignant tumor, Department of thoracic surgery, mostly male, operation is the main method for the treatment of esophageal carcinoma in [1], along with the improvement of people's living standard, the average life expectancy increased, more and more elderly patients with [2]. Due to the decline in elderly patients with immunity, and there are dif erent degrees of heart and lung and other organs disease, operation and argcvbnesthesia on the tolerance of dif erence, and the cancer causing esophageal obstruction caused by eating in patients with limited, often have dif erent degrees of mbdbfalnutrition, water electrolyte imbalance, so that patients with anxiety, fear and other psychological Gong on rehabilitation of operation and operation after the revbcvbcovery of patients, influence. Therefore, to strengthen the psychological nursing in peri operation period is one of the important factors for successful treatment, our department in recent years according to the psychological characteristics of elderly patients, combined with practical, ef ective nursing measures, and have achieved good results.