综合护理干预在原发性肝癌肝动脉化疗栓塞术中的效果观察  

EFFICACY OF COMPREHENSIVE NURSING INTERVENTION FOR PRIMARY LIVER CANCER TREATED WITH TACE

作　　者：李雪荣[1] 宋亚华[1] 李婵[1] 杨会[1] 郭晓燕[1] 

机构地区：[1]西安交通大学第二附属医院消化内科,陕西省西安市710004

出　　处：《中国煤炭工业医学杂志》2016年第5期756-759,共4页Chinese Journal of Coal Industry Medicine

基　　金："十二五"国家科技支撑计划(编号:2012BAJ18B03-03);西安交通大学第二附属医院基金项目(编号:2003HL-50)

摘　　要：目的探讨综合护理干预在原发性肝癌肝动脉化疗栓塞术中的护理效果。方法选择原发性肝癌采用肝动脉化疗栓塞术患者160例为研究对象,采用数字表法分为观察组和对照组各80例。观察组采用综合护理干预,对照组采用常规护理,比较二组患者术后发热、腹痛、胃肠道反应、尿潴留、消化道出血、急性肾衰竭、肿瘤破裂等不良反应及并发症情况。结果观察组腹痛发生率40.0%,发热30.0%,胃肠道反应30.0%,尿潴留13.8%,均显著低于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率3.8%,对照组并发症发生率17.5%。观察组并发症发生率显著低于对照组,差异有统计学意义(P<0.05)。结论原发性肝癌肝动脉化疗栓塞术患者采用综合护理干预能够显著改善患者术后并发症及不良反应的发生率,值得临床推广。Objective To discuss the efficacy of comprehensive nursing intervention for primary liver cancer treated with TACE.Methods One hundred and sixty cases with primary liver cancer treated with TACE were divided into intervention group and control group using digital table,each group of 80 cases.The intervention group was nursed with comprehensive nursing intervention,while the control group was nursed with routine care.The rates on fever,pain,gastrointestinal reactions,urinary retention,gastrointestinal bleeding,acute renal failure and tumor rupture were compared after treatment between the two groups.Results Abdominal pain rate of the intervention group was 40.0 ％,fever rate was 30.0 ％,gastrointestinal reactions rate was 30.0％,urinary retention rate was 13.8％,HICH were lower than the control group(P＜0.05).The complication rate of the intervention group was 3.8％,and the control group was 17.5％,which showed significant difference between the two groups(P＜0.05).Conclusion Comprehensive nursing intervention for primary liver cancer treated with TACE can reduce complications and adverse reactions,and it is worthy of clinical promotion.

关 键 词：综合护理干预 原发性肝癌 肝动脉化疗栓塞术 尿潴留 肿瘤破裂 

分 类 号：R735.7[医药卫生—肿瘤]