50-50标准联合肝功能衰竭分级在肝癌肝切除术后护理中的应用研究  

Clinical research on post hepatectomy nursing care with “50-50 criteria” and PHLF grading for hepatocellular carcinoma patients

作　　者：文静[1] 张维[1] 赫嵘[1] 张海霞[1] 张红宇[1] 张珂[1] 

机构地区：[1]首都医科大学附属北京地坛医院,北京100015

出　　处：《护士进修杂志》2017年第4期300-303,共4页Journal of Nurses Training

基　　金：北京市科学技术委员会首都临床特色应用研究(编号:Z121107001012169)

摘　　要：目的评价50-50标准联合肝功能衰竭(PHLF)分级在肝癌肝切除术后护理中的应用价值。方法选取2014年1月至2015年12月间67例肝癌肝切除患者,观察组(33例)术后采用50-50标准联合PHLF分级的新护理措施,对照组(34例)术后采用传统经验性护理措施,观察护理工作效果。结果两组术前一般资料、术中情况无差异,术后并发症发生情况无差异。观察组与对照组PHLF B/C级诊断时限分别为术后(5.3±1.6)d与(6.0±0.8)d,差异有统计学意义(P<0.05)。术后平均住院日观察组为(18.4±9.2)d,对照组为(22.6±6.6)d,两组差异有统计学意义(P<0.05)。术后平均住院费用观察组为(32 200±4 000)元,对照组为(35 310±3 270)元,两组差异有统计学意义(P<0.01)。结论肝癌肝切除患者术后护理中联合应用50-50标准与PHLF分级,有助于科学制定专科护理措施,提高专科护理效率和护理质量。Objective To evaluate the application value of post hepatectomy nursing care with ＂50 50 criteria＂ and PHLF grading for hepatocellular carcinoma patients. Methods 67 patients with hepatectomies from January 2014 to December 2015 were selected. 33 cases underwent new nursing care （as research group）, 34 cases underwent traditional nursing care（ as control group）. The nursing service effects were observed and analyzed. Results The general situation, the situation during operation and postoperative complications were no difference between the two groups. PHLF B/C diagnostic time for observation group and control group was（5.3±1.6）d and（6.0±0.8）d after rcspec tively after operation. There was significant difference （P 〈 0.05）. The average length of stay in the observation group was（ 18.4±9.2） d, and the control group was（22. 6 ± 6.6）d, there was significant difference for the two group （P 〈0.05）. The average hospitalization cost of the observation group was（32 200±4 000） Yuan and the control group was （35 310 ± 3 270）Yuan. there was significant difference for the two group （P 〈0.01 ）. Conclusion For hepatocellular carcinoma patients undergoing hepatectomy, the combined application of 50-50 standard and ISGI.S grading in nursing care is helpful to develop scientific nursing measures and improve the efficiency and quality of nursing care. This is worthy of clinical promotion.

关 键 词：原发性肝癌 肝切除术 肝衰竭 护理 

分 类 号：R473.6[医药卫生—护理学] R730.56[医药卫生—临床医学]