脾动脉部分栓塞术治疗难治性特发性血小板减少性紫癜疗效观察及护理

Observation of the effective outcome of the treatment of refractory idiopathic thrombocytopenic purpura with partial splenic embolization and nursing care

目的:探讨脾动脉部分栓塞治疗难治性特发性血小板减少性紫癜的临床效果和护理措施。方法:将29例患者随机分为实验组(16例)和对照组(13例),对照组采用常规的脾切除治疗,实验组改为采用脾部分栓塞治疗,对比疗效。结果:脾栓塞组与脾切除组的近期、远期疗效比较无显著性差异(P>0.05)。结论:脾部分栓塞治疗不仅达到了与脾切除相似的疗效,还能保留脾脏部分免疫功能;且手术创伤小,安全性好,采取适当的护理后无严重并发症的发生,患者更易接受。

Objective: To discuss the effective clinical outcome of the treatment of refractory idiopathic thrombocytopenic purpura with partial splenic embolization and nursing care. Methods: 29 patients were randomly divided into test group (n=16) and control group (n=13). Routing splenectomy was adopted in the control group, while the test group was given with partial splenic embolization instead, and the comparison was made. Results: No significant difference was shown in the comparison of the recent and forward curative effect (P>0.05). Conclusion: Partial splenic embolization has the same effective rate with splenectomy , are of the satisfactory reservation of partial immune function; Partial splenic embolization has more advantages such as mild wound, safety, no severe complications with suitable nursing approaches, more receptibal.