肝衰竭患者行自体骨髓干细胞移植的护理

Nursing care experiences of hepatic failure patients with autologous bone marrow stem cells transplantation

目的探讨对肝衰竭自体骨髓干细胞移植患者的护理和观察对预后的影响。方法总结45例采用自体骨髓干细胞移植介入治疗慢性肝衰竭患者移植前、术中和移植后的护理与观察体会。结果45例患者手术成功率100％；多数患者临床症状和肝功能均有明显改善；术后出现2例发热、3例恶心呕吐，术后2周内1例慢性重症肝炎死亡。结论加强自体骨髓干细胞移植患者的护理和观察，可以改善患者肝功能，减少并发症，提高生存率。

Objective To explore the effects of nursing care for patients with autologous bone marrow stem cell transplantation. Methods There were 45 hepatic failure patients recruited. Experiences of nursing care in perioperative period of patients with autologous bone marrow stem cells transplantation were summarized. Results Achievement ratio of operation was 100%. Most of patients＇ clinical symptoms and Liver functions were obviously improved. But there were two cases appeared fever, three cases appeared the systems of nausea and vomiting and one case died. Conclusions Enhancing nursing care for the patients with autologous bone marrow stem cell transplantation can improve the function of patient＇ s Liver, increase the survival rate and reduce the complication accident.