改良式腰托联合骨科患肢制动固定装置的设计及肝癌介入术后应用  

The design of improved lumbar support combined with orthopedic limb-immobilization device and its application in liver cancer patients after receiving interventional therapy

作　　者：田文静 蔡平凡 王莹 安学伟 王敏洁 田丽[1] TIAN Wenjing;CAI Pingfan;WANG Ying;AN Xuewei;WANG Minjie;TIAN Li(Department of Surgery,Beijing Friendship Hospital,Capital Medical University,Beijing 100050,China)

机构地区：[1]首都医科大学附属北京友谊医院外科,北京100050

出　　处：《介入放射学杂志》2021年第6期621-625,共5页Journal of Interventional Radiology

基　　金：首都医科大学附属北京友谊医院院级课题项目(yyqdkt2018-hl3)。

摘　　要：目的探讨自行设计腰托联合骨科患肢制动固定装置在肝癌患者介入术后的应用效果。方法将腰拖、加压沙袋、患肢固定装置三部分融合,设计形成腰托联合骨科患肢制动固定装置。选取2019年1月至12月确诊为肝癌,介入术患者100例为研究对象,随机分为观察组(50例)和对照组(50例),两组均接受常规术后护理,对照组采用手工联合沙袋加压包扎、制动止血,观察组采用改良式腰拖联合骨科患肢制动固定装置进行止血和制动,比较两组术后止血效果、患者舒适度及皮肤损伤程度。结果观察组术后出血/渗血及沙袋掉落次数明显少于对照组,术后排尿困难、腰酸背痛、穿刺侧不适发生率和疼痛度明显低于对照组,但术后护理装置所致皮肤损伤的概率与对照组相比无显著差异。结论腰托联合骨科患肢制动固定装置可以提高肝癌患者介入术后止血效果和舒适度,使用安全,提高护士工作效率。Objective To discuss the application effect of self-designed lumbar support combined with orthopedic limb-immobilization device in liver cancer patients after receiving interventional therapy.Methods The following three parts, i.e. the lumbar support, the pressure sandbag and the limb-fixture,were assembled together to form a orthopedic limb-immobilization device. A total of 100 patients with confirmed diagnosis of liver cancer from January 2019 to December 2019, who were planned to receive interventional therapy, were enrolled in this study. The patients were randomly and equally divided into study group(n=50)and control group(n=50). Routine postoperative nursing care was adopted for the patients of both groups.Hand plus sandbag pressure dressing and immobilization hemostasis were employed for the patients of the control group, while modified lumbar support combined with orthopedic limb-immobilization device was used for the patients of the study group to make hemostasis and immobilization. The hemostatic effect, the degrees of patient’s comfort and skin damage were compared between the two groups. Results The incidence of hemorrhage/errhysis and the number of sandbag dropping in the study group was significantly less than those in the control group. Postoperative dysuria, backache, puncture side discomfort and the pain degree in the study group were significantly lower than those in the control group. No significant difference in the postoperative skin damage existed between the two groups. Conclusion Self-designed lumbar support combined with orthopedic limb-immobilization device can improve postoperative hemostatic effect and comfort degree in patients with liver cancer after receiving interventional therapy. The use of this device is clinically safe,besides, the efficiency of nursing care can be improved.

关 键 词：肝癌 介入术 止血 舒适度 

分 类 号：R735.7[医药卫生—肿瘤]