ExoSeal血管封堵器对原发性肝癌介入术后制动时间、疼痛和焦虑情绪的影响  

Effects of ExoSeal vascular occluder on the immobilization time,pian and anxiety emotions of patients with primary liver cancer after interventional operation

作　　者：刘秀芳[1] 张伟伟[1] 吴海平 许俊芳 张卫丽 杨鸿芳[1] 杨贤达 江倩倩 LIU Xiufang;ZHANG Weiwei;WU Haiping(Department of Vascular Intervention,Handan Central Hospital,Hebei,Handan 056001,China)

机构地区：[1]河北省邯郸市中心医院血管介入科,056001

出　　处：《河北医药》2021年第18期2811-2813,2817,共4页Hebei Medical Journal

基　　金：河北省医学科学研究重点课题(编号:2020473)。

摘　　要：目的探讨ExoSeal血管封堵器对原发性肝癌患者行肝动脉栓塞化疗术(TACE)术后制动时间、疼痛和焦虑情绪的影响。方法将2018年1月1日至2020年1月1日在邯郸市中心医院血管介入科首次经股动脉入路行TACE治疗的145例原发肝癌患者作为研究对象,入住血管介入一科的70例患者作为试验组(ExoSeal血管封堵器),同期入住血管介入二科的75例患者作为对照组(弹力绷带加压包扎)。比较2组患者术后制动时间、疼痛量表(NRS)得分、焦虑自评量表(SAS)得分、术后并发症发生率、患者住院满意度。结果干预前2组患者焦虑得分比较,差异无统计学意义(P>0.05);干预后试验组患者术后制动时间、NRS得分、SAS得分、术后并发症总例数少于对照组,差异有统计学意义(P<0.05),住院满意度得分高于对照组,差异有统计学意义(P<0.05)。结论肝癌介入治疗应用血管封堵器缩短了TACE术后原发性肝癌患者的制动时间,缓解了患者术后腰背部疼痛及焦虑情绪,提高了患者的舒适度及满意度,值得在临床上广泛推广应用。Objective To investigate the effects of ExoSeal vascular occluder on the immobilization time,pian and anxiety emotions of patients with primary liver cancer after transcatheter hepatic arterial chemoembolization(TACE).Methods A total of 147 patients with primary liver cancer who were treated by TACE via femoral artery in our hospital from January 1,2018 to January 1,2020 were enrolled in the study,who were divided into experimental group(ExoSeal vascular occluder treatment),and control group elastic bandage compression treatment,with 75 cases in each group.The postoperative immobilization time,Numerical Rating Scale(NRS)score,anxiety self-rating scale(SAS)score,postoperative complication rate,and hospitalization satisfaction degree of patients were observed and compared between the two groups.Results Before intervention,there were no significant differences in anxiety scores between the two groups(P>0.05).After intervention,the the immobilization time,NRS scores,SAS scores,and the incidence of postoperative complications experimental group were superior to those in control group(P<0.05),and the hospitalization satisfaction degree was significantly higher than that in control group(P<0.05).Conclusion The application of vascular occluder in patients with primary liver cancer after ACTE can shorten the immobilization time,relieve the postoperative back pain and anxiety emotion,improve the comfort and satisfaction degree of patients,therefore,it is worthy of clinical application and promotion.

关 键 词：TACE 原发性肝癌 血管封堵器 体位制动 并发症 

分 类 号：R735.7[医药卫生—肿瘤]