人工肝支持系统联合全程护理在肝硬化患者中的应用效果  

Application effect of artificial liver support system combined with whole-course nursing in patients with liver cirrhosis

作　　者：吴冰洁 赵丽琴[1] 冯晶 WU Bingjie;ZHAO Liqin;FENG Jing(First Hospital of Shanxi Medical University,Taiyuan,Shanxi,030001,China)

机构地区：[1]山西医科大学第一医院,山西太原030001

出　　处：《中西医结合护理（中英文）》2024年第1期5-8,共4页Journal of Clinical Nursing in Practice

摘　　要：目的探讨人工肝支持系统联合全程护理在肝硬化患者中的应用效果。方法选取2020年6月至2023年1月山西医科大学第一医院收治的126例肝硬化患者作为本次研究对象,按照随机数字表法分为对照组(人工肝支持系统+常规护理,63例)和观察组(人工肝支持系统+全程护理,63例)。干预2个月后,对比2组的肝功能指标和肝储备功能,以及生活质量和护理满意度。结果干预2个月后,观察组的丙氨酸氨基转移酶、总胆红素和天门冬氨酸氨基转移酶水平均低于对照组,白蛋白水平高于对照组;观察组的肝脏有效循环量、吲哚菁绿15 min潴留率和终末期肝病模型评分均低于对照组,生活质量评分和护理满意率均高于对照组(P均<0.05);2组的上述指标和评分与干预前相比均更优(P均<0.05)。结论将人工肝支持系统联合全程护理应用于肝硬化患者,可改善其肝功能指标和肝储备功能,提高其生活质量和护理满意度。Objective To explore the application effect of artificial liver support system combined with whole-course nursing in patients with liver cirrhosis.Methods A total of 126 patients with liver cirrhosis admitted to the First Hospital of Shanxi Medical University from June 2020 to January 2023 were selected as the research subjects.They were randomly divided into a control group(63 cases,artificial liver support system and routine nursing)and an observation group(63 cases,artificial liver support system and whole-course nursing)using a random number table method.After 2 months of intervention,liver function indicators and liver reserve function,as well as quality of life and nursing satisfaction were compared between the two groups.Results After 2 months of intervention,the levels of alanine aminotransferase,total bilirubin,and aspartate aminotransferase in the observation group were lower than those in the control group,while the levels of albumin in the observation group were higher than those in the control group(all P<0.05).The effective circulation volume of liver,retention rate of indocyanine green in 15 minutes and the model for end-stage liver disease score in the observation group were lower than those in the control group,and the score of quality of life and the satisfaction rate of nursing in the observation group were higher than those in the control group(all P<0.05).The above indicators and scores of both groups were better than those before intervention(all P<0.05).Conclusion The application of artificial liver support system combined with whole-course nursing in patients with liver cirrhosis can improve their liver function indicators and liver reserve function,and enhance their quality of life and nursing satisfaction.

关 键 词：肝硬化 人工肝支持系统 全程护理 肝功能 生活质量 

分 类 号：R473.5[医药卫生—护理学]