CT引导下经皮穿刺氩氦刀微创治疗中晚期肝癌的集束化围手术期护理  

The perioperative bundle of care for advanced HCC patients receiving CT-guided percutaneous minimally-invasive argon-helium knife cryoablation

作　　者：胡婷业[1] 许秀芳[2] 陆玉和[1] 王凯[1] 章敢 夏磊[1] 张劲松[1] 周晓星[1] 张珊珊[1] 

机构地区：[1]安徽医科大学附属滁州临床学院(滁州市第一人民医院)介入血管科,安徽滁州239000 [2]解放军第85医院放射科 [3]安徽医科大学附属滁州临床学院(滁州市第一人民医院)普外科,安徽滁州239000

出　　处：《介入放射学杂志》2018年第1期80-82,共3页Journal of Interventional Radiology

摘　　要：目的探讨CT引导下经皮穿刺氩氦刀治疗中晚期肝癌的集束化围手术期护理。方法 30例采用经皮穿刺氩氦刀治疗的中晚期肝癌患者,实施培训护理小组成员、完善术前心理护理、饮食指导和术前常规准备,术中有效指导和密切观察患者的病情变化,术后活动指导和预防、观察并发症等集束化护理干预措施。结果 30例中晚期肝癌患者积极配合医师进行经皮穿刺氩氦刀治疗,术后2例出现恶心、呕吐现象,1例出现寒战、发热,经对症处理后好转,30例患者围手术期恢复良好,顺利出院。结论集束化围手术期护理能帮助患者尽快地恢复手术带来的损害,减轻患者痛苦,提高生活质量。Objective To discuss the clinical effect of perioperative bundle of care for patients with advanced hepatocellular carcinoma （HCC） who are receiving CT-guided percutaneous minimally-invasive argon-helium knife cryoablation. Methods A total of 30 HCC patients, who underwent percutaneous argon- helium knife cryoablation, were enrolled in th^s study. Perioperative measures based on the concept of bundle of care were implemented, which included training of nursing team members, perfect preoperative psychological nursing, dietary guidance, preoperative routine preparations, effective intraoperative guidance and close observation of the patient＇s condition, postoperative activity guidance, prevention and observation of complications, etc. Results All 30 advanced HCC patients could actively cooperate with physicians for the performance of percutaneous argon helium cryoablation. After the treatment, two patients developed nausea and vomiting and one patient developed chills and fever, which were improved after symptomatic treatment. All the 30 patients recovered well during the perioperative period and were discharged from hospital smoothly. Conclusion Perioperative bundle of care can help patients restore the surgical damage as soon as possible, reduce the pain and improve the quality of life.（J Intervent Radiol, 2018, 27： 80-82）

关 键 词：氩氦刀 中晚期肝癌 集束化护理 护理干预 

分 类 号：R735.7[医药卫生—肿瘤]