ICG荧光引导腹腔镜解剖性肝切除术前ICG用药的护理要点研究  

Study on the nursing points of ICG medication before ICG fluorescent-guided laparoscopic anatomical hepatectomy

作　　者：刘玲玲 黄跃英[1] Liu Lingling;Huang Yueying(The Second Affiliated Hospital of Nanchang University,Nanchang,Jiangxi 330008,China)

机构地区：[1]南昌大学第二附属医院,江西南昌330008

出　　处：《首都食品与医药》2023年第21期117-119,共3页Capital Food Medicine

基　　金：江西省卫生健康委科技计划项目(编号:202130450)。

摘　　要：目的探讨ICG荧光引导腹腔镜解剖性肝切除术前ICG用药的护理要点.方法前瞻性研究2021年1月-2021年12月在南昌大学第二附属医院肝胆外科实行ICG荧光引导腹腔镜解剖性肝切除术46例患者的荧光显影情况.就显影效果进行简易分级,分析其Child-Pugh分级和术前给药时间.采用随机数字表法将患者分为对照组(n=23)和观察组(n=23),对照组采用基础护理模式,观察组在对照组的基础上采用快速康复外科理念干预.比较两组患者的生活质量量表(SF-36)评分、日常生活能力量表(ADL)评分以及对护理满意度情况.结果所有患者皆在ICG荧光引导腹腔镜下顺利完成肝切除术,术后总荧光显影总体满意率达82.61%.Child-Pugh分级为A级患者在注射时间为3d的效果较好;而B级患者在注射时间为5d的效果较好.两组SF-36及ADL评分干预后均比干预前高,且观察组干预后比对照组高(P<0.05).观察组护理总体满意度为95.65%,高于对照组的82.61%.结论Child-Pugh的分级不同,患者的ICG术前给药时间亦不同.Child-Pugh分级为A级和B级患者在注射时间分别为3d和5d的效果较好.且采用快速康复外科理念对患者进行干预,其生活质量、日常生活能力以及护理满意度较好.Objective To explore the nursing points of ICG medication before ICG fluorescent-guided laparoscopic anatomical hepatectomy.Methods A prospective study was conducted on the fluorescence development in 46 patients undergoing ICG fluorescentguided laparoscopic anatomical hepatectomy in our hospital from January 2021 to December 2021.The development effect was simply graded,and its Child-Pugh grading and preoperative administration time were analyzed.The patients were randomly divided into control group(n=23)and observation group(n=23).The control group adopted basic nursing mode,and the observation group adopted the concept of rapid rehabilitation surgery on the basis of the control group.The quality of life scale(SF-36),ability of daily living scale(ADL)and nursing satisfaction were compared between the two groups.Resul ts All patients successfully completed hepatectomy under the guidance of ICG fluorescence laparoscopy.The overall satisfaction rate of postoperative total fluorescence imaging was 82.61%.Patients with Child-Pugh grade A had better effect when the injection time was 3 days;the effect of grade B patients is better when the injection time is 5 days.The SF-36 and ADL scores of the two groups were higher after intervention than before intervention,and the intervention outcome of the observation group was higher than that of the control group(P<0.05).The overall nursing satisfaction of the observation group was 95.65%higher than that of the control group 82.61%.Conclusion Patients with different grades of Child-Pugh have different administration time before ICG.Patients with Child-Pugh grade A and B had better effects when the injection time was 3 days and 5 days respectively.In addition,patients were intervened with the concept of rapid rehabilitation surgery,and their quality of life,daily living ability and nursing satisfaction were better.

关 键 词：ICG 腹腔镜肝切除 荧光显像 护理 

分 类 号：R473.6[医药卫生—护理学]