原发性肝癌介入化疗栓塞术后胃肠功能障碍的临床护理研究  

Clinical nursing of gastrointestinal dysfunction after interventional chemotherapy for primary hepatocellular carcinoma

作　　者：郝晓惠 杨玉红[1] 

机构地区：[1]首都医科大学附属北京佑安医院,北京100069

出　　处：《结直肠肛门外科》2018年第A02期44-45,共2页Journal of Colorectal & Anal Surgery

摘　　要：目的观察分析原发性肝癌介入化疗栓塞术后胃肠功能障碍的临床护理措施。方法选取本院(在2017年5月-2018年5月)收治的58例原发性肝癌患者,所有患者均接受介入化疗栓塞术。按照不同护理干预方法分为实验组(29例,应用综合护理干预方法)和对照组(29例,应用常规护理干预方法)。采用统计学分析两组原发性肝癌患者的胃肠功能障碍(恶心、呕吐、腹痛腹胀等)发生率、平均排便时间、平均下床活动时间以及平均排气时间。结果实验组原发性肝癌患者的恶心、呕吐、腹痛腹胀等胃肠功能障碍发生率低于对照组(P<0.05),实验组原发性肝癌患者的平均排便时间、平均下床活动时间以及平均排气时间短于对照组(P<0.05)。结论对接受介入化疗栓塞术治疗的原发性肝癌患者采取综合护理干预措施能够降低胃肠功能障碍发生率。Objective to observe and analyze the clinical nursing measures for gastrointestinal dysfunction after interventional chemotherapy for primary liver cancer.Methods fifty-eight patients with primary liver cancer who were admitted to our hospital from May 2017 to May 2018 were selected.All patients received interventional chemotherapy embolization.According to different nursing intervention methods,the patients were divided into experimental group(29 cases,applying comprehensive nursing intervention method)and control group(29 cases,applying conventional nursing intervention method).The incidence of gastrointestinal dysfunction(nausea,vomiting,abdominal pain and distension,etc.),average defecation time,average time of out of bed activity and average time of exhaust were statistically analyzed in the two groups of patients with primary liver cancer.Results the incidence of gastrointestinal dysfunction such as nausea,vomiting,abdominal pain and distension in patients with primary liver cancer in the experimental group was lower than that in the control group(P<0.05),and the average defecation time,average out-of-bed activity time and average exhaust time in patients with primary liver cancer in the experimental group were shorter than that in the control group(P<0.05).Conclusion comprehensive nursing intervention for primary hepatocellular carcinoma patients receiving interventional chemotherapy and embolization can reduce the incidence of gastrointestinal dysfunction.

关 键 词：原发性肝癌 介入化疗栓塞术 胃肠功能障碍 临床护理 

分 类 号：R735.7[医药卫生—肿瘤] R730.53[医药卫生—临床医学]