肝癌介入治疗栓塞综合征对症治疗(附142例报告)

The symptomatic treatment of hepatocellular carcinoma interventional embolism syndrome(report of 142 cases)

目的:探讨奥西康(奥美拉唑针剂)联合麦滋林颗粒、胃复安针、甲基强的松龙针对控制肝癌动脉化疗栓塞后胃区疼痛、栓塞热、呕吐反应的治疗效果。方法:对142例接受介入治疗肝癌患者的术后栓塞综合征治疗情况进行回顾性分析,对比奥西康针联合麦滋林颗粒组与雷尼替丁针组治疗介入术后胃黏膜损伤引起胃区疼痛的疗效差别,对比甲基强的松龙针与地塞米松针控制术后栓塞热的差别,对比胃复安针与欧贝针控制术后呕吐反应的差别。结果:奥西康针联合麦滋林颗粒、甲基强的松龙针、胃复安针对控制肝癌介入术后胃区疼痛、栓塞热、呕吐反应治疗效果好于雷尼替丁针、地塞米松针、欧贝针等对照组。结论:奥西康针加麦滋林颗粒、甲基强的松龙针、胃复安针分别控制胃黏膜损伤、栓塞热、呕吐疗效较好。

Objective：To investigates the effect of Omeprazole injection combined with Marzulene particles,Metoclopramide injection,Methylprednisolone injection to control stomach area pain,embolism heat,vomiting of hepatocellular carcinoma after transcatheter arterial chemoembolization（TACE）.Methods：142 hepatocellular carcinoma patients undergoes transcatheter arterial chemoembolization treatment,whose postoperative embolism syndrome cases are analyzed retrospectively,comparing Omeprazole injection combined Marzulene particle with the Ranitidine injection effect to the pain in stomach area caused by gastric mucosal damage after transcatheter arterial chemoembolization;comparing Methylprednisolone with Dexamethasone effect to embolism heat,Metoclopramide compared with Ondansetron hydrochloride effect to vomiting.Results：Omeprazole injection combined Marzulene particles,Methylprednisolone injection,Metoclopramide injection effect to control stomach area pain,embolism heat,vomiting of hepatocellular carcinoma after transcatheter arterial chemoembolization is better than Ranitidine injection,Dex injection,Ondansetron hydrochloride injection.Conclusion：The Omeprazole injection combined with Marzulene particles,Metoclopramide injection,and Methylprednisolone injection,control gastric injury,embolization fever,vomiting and have a better curative effect.