辨证施护对肝郁脾虚型肝癌栓塞术后综合征及患者生活质量的影响  

Effects of differentiation nursing on life quality and embolization syndrome of the Ganyu Pixu type of hepatocellular carcinoma

作　　者：黄增银 郑淦方 

机构地区：[1]广东省中医院芳村分院,广东广州510370

出　　处：《中医临床研究》2017年第21期123-125,共3页Clinical Journal Of Chinese Medicine

摘　　要：目的:观察辨证施护对肝郁脾虚型肝癌患者肝动脉化疗栓塞术(TACE)后综合征及对患者生存质量的影响。方法:选取从2015年1月-2016年12月在广东省中医院住院的80例辨证为肝郁脾虚型原发性肝癌行TACE治疗后出现栓塞后综合征的患者分为两组各40例。对照组术后应用常规西药对症及一般护理治疗,治疗组术后在对照组护理治疗基础上加予辨证施护干预。比较栓塞后综合征主要症状,包括疲乏、发热、肝区疼痛、恶心、呕吐、便秘等的严重程度、持续时间及生活质量测评评分(KPS评分),评价辨证施护干预对栓塞术后综合征患者生存质量的影响。结果:运用辨证施护干预对肝郁脾虚型原发性肝癌栓塞后综合征,患者的疲乏、发热、肝区疼痛、恶心、呕吐、腹泻或便秘等主要症状的严重程度低于对照组(P<0.05),持续时间短于对照组(P<0.05);生活质量KPS评分总得分高于对照组(P<0.05)。结论:辨证施护干预对肝郁脾虚型原发性肝癌栓塞后综合征症状改善效果良好,能提高生存质量。Objective:To observe the effect of differentiation nursing on liver depression and the Ganyu Pixu type of liver cancer after transcatheter arterial chemoembolization and the quality of life.Methods:From January2015to December2016,80cases of syndrome of liver stagnation and the Ganyu Pixu type of primary liver cancer in Guangdong Province Traditional Chinese Medical Hospital were divided into TACE group(n=40)and the control group(n=40).The control group was treated with conventional western medicine and general nursing.The treatment group was treated by differentiation nursing.Results:The severity of fatigue,fever,liver pain,nausea,vomiting,diarrhea or constipation and other symptoms in TACE group were lower than the control group(P<0.05);the duration was shorter than the control group(P<0.05);the total score of quality of life was significantly higher than the control group(P<0.05).Conclusion:The differentiation nursing could relieve the symptoms of post embolization syndrome and improve the quality of life.

关 键 词：辨证施护 原发性肝癌 栓塞后综合征 生存质量 

分 类 号：R248.5[医药卫生—中医临床基础]