经桡动脉入路肝癌介入治疗综合管理中国专家共识(2024版)  

Chinese expert consensus on comprehensive management of interventional therapy for liver cancer via radial artery approach(2024 edition)

作　　者：中国抗癌协会肝胆肿瘤整合护理专业委员会 黄中英[2] 陈秀婉 黄秋环[4] 姚媛淑 俞静娴 朱英娥[5] Hepatobiliary Tumor Integrated Nursing Committee of China Anti-Cancer Association;Huang Zhongying(不详;Nursing Department,Sun Yat-sen University Cancer Center,an hou.510060 China)

机构地区：[1]不详 [2]中山大学肿瘤防治中心护理部,广州510060 [3]厦门大学附属第一医院 [4]右江民族医学院附属医院 [5]复旦大学附属中山医院

出　　处：《中华消化外科杂志》2024年第4期527-535,共9页Chinese Journal of Digestive Surgery

基　　金：广东省医学科研基金项目(A2022031)。

摘　　要：目的 制订《经桡动脉入路肝癌介入治疗综合管理中国专家共识(2024版》,为医务人员制订肝癌介入治疗围手术期规范化的管理路径方案提供参考.方法 系统检索、评价并汇总肝癌介入治疗相关证据,形成共识初稿;邀请国内28家医院48位相关领域专家组成编审委员会,开展2轮德尔菲专家函询及1轮线上专家论证会,对共识初稿进行讨论与修订,最终形成终定稿.结果 该共识从术前评估、术前准备、健康教育、术后交接与监测、导管与用药管理、穿刺部位管理、体位与活动管理、营养监测及饮食管理、疼痛管理与心理支持、并发症观察与处理10个方面达成一致性意见.结论 该共识形成了经桡动脉入路肝癌介入治疗综合管理的推荐意见,建立综合的围手术期管理模式,以供国内同行参考.Objective To develop the Chinese expert consensus on comprehensive mana-gement of interventional treatment for liver cancer via radial artery approach(2024 edition),aiming to provide references for medical staff to develop standardized management path plans for liver cancer interventional treatment.Methods Systematically search,evaluate,and summarize evidence related to liver cancer intervention therapy to form a consensus draft.There were 48 experts from 28 domestic hospitals in related fields invited to form an editorial and review committee,conducting 2 rounds of Delphi expert inquiries and 1 round of online expert discussion meetings,discussing and revising the initial consensus draft,and ultimately forming the final draft.Results The consensus reached a consensus on 10 aspects:preoperative evaluation and preparation,health education,postoperative handover and monitoring,catheter and medication management,puncture site management,position and activity management,nutritional monitoring and dietary management,pain management and psychological support,and observation and management of complications.Conclusions The con-sensus has formed a recommendation for comprehensive management of interventional treatment for liver cancer via radial artery approach,and a comprehensive perioperative management model has been established for reference by domestic peers.

关 键 词：肝肿瘤 介入治疗 经桡动脉入路 管理 专家共识 

分 类 号：R735.7[医药卫生—肿瘤]