腹部热敷联合饮食疗法对TACE术治疗肝癌患者术中恶心呕吐的预防作用研究  

Study on the Preventive Effect of Abdominal Hot Compress Combined with Dietary Therapy on Intraoperative Nausea and Vomiting in Patients with Liver Cancer Treated by TACE

作　　者：邢利娟 XING Lijuan(Department of medicine,Anyang Fifth People’s Hospital,Anyang Henan 455000,China)

机构地区：[1]安阳市第五人民医院内科,河南安阳455000

出　　处：《临床研究》2022年第12期178-181,共4页Clinical Research

摘　　要：目的 探究腹部热敷联合饮食疗法对肝动脉化疗栓塞术(TACE)治疗肝癌患者术中恶心呕吐的应用效果。方法 选择安阳市第五人民医院2019年12月至2021年6月期间行TACE术治疗98例的肝癌患者作为研究对象,采用随机数表法进行随机分组,用不透光的信封进行分配隐藏,将患者分为两组,分别为对照组及观察组,均为49例。对照组给予常规干预,观察组在常规干预基础上给予饮食干预联合腹部热敷,对比两组患者恶心、呕吐发生率及严重程度,而且对比两组患者TACE术当天、术后第1 d的呕吐次数、呕吐量,统计两组患者干预前后生活质量评分,统计两组追加用药的例数和用药量记录。结果 观察组呕吐发生、恶心发生率低于对照组,观察组术后恶心严重程度、术后呕吐严重程度评分低于对照组,差异有统计学意义(P <0.05)。观察组的TACE术当天、术后第1 d的呕吐次数、呕吐量均少于对照组,差异有统计学意义(P <0.05)。干预后,观察组FACT-HEP的各维度评分及总评分均明显高于对照组,差异有统计学意义(P <0.05)。观察组使用补救性止吐药物甲氧氯普胺及昂丹司琼的例数少于对照组,补救性止吐药物用量均少于对照组,差异有统计学意义(P <0.05)。结论 饮食干预联合腹部热敷对TACE术治疗肝癌患者术中恶心呕吐,能够减少及缓解恶心呕吐,减少呕吐次数及呕吐量,提高患者生活质量。Objective To explore the effect of abdominal hot compress combined with diet therapy on nausea and vomiting in patients with liver cancer treated by TACE.Methods A total of 98 patients with liver cancer who received TACE in the Fifth People’s Hospital of Anyang from December 2019 to June 2021 were selected as the research objects.Random number table method was used for randomization,and opaque envelopes were used for distribution and hiding.The patients were divided into two groups,namely control group and observation group,with 49 cases in both.The control group was given routine intervention,and the observation group was given diet intervention combined with abdominal hot compress on the basis of routine intervention.The incidence and severity of nausea and vomiting were compared between the two groups,and the frequency and volume of vomiting on the day of TACE and the first day after TACE were compared between the two groups.The scores of quality of life before and after intervention were counted,and the number of additional drug use cases and dosage records of the two groups were counted.Results The incidence of vomiting and nausea in the observation group were lower than those in the control group,and the severity of postoperative nausea and postoperative vomiting in the observation group were lower than those in the control group,the difference was statistically significant(P<0.05).The vomiting times and amount in the observation group on the day of TACE surgery and the 1st day after surgery were lower than those in the control group,and the difference was statistically significant(P<0.05).After intervention,FACT-HEP scores of all dimensions and total scores in the observation group were significantly higher than those in the control group,with statistical significance(P<0.05).The number of cases of metoclopramide and ondansetron used in the observation group was less than that in the control group,and the dosage of remedial antiemetic drugs was less than that in the control group,the difference was stati

关 键 词：饮食干预 腹部热敷 TACE术 肝癌 术中恶心呕吐 

分 类 号：R47[医药卫生—护理学]