早期进食对肝癌介入栓塞手术后患者降低并发症的临床观察

Effectiveness analysis of early feeding on liver cancer after embolization to reduce complications

目的探讨早期进食对肝癌介入栓塞术后降低并发症的临床疗效。方法将2010年至2012年收治的200例肝癌介入栓塞术后患者按随机数表法分为两组,对照组(100例)患者于术后6h开始正常进食,观察组(100例)患者于术后2h进食流质,6h后恢复正常饮食。比较两组患者术后排尿时间、排便时间、发生恶心呕吐消化道反应例数及口渴、腹胀、拒食等术后并发症发生率。结果观察组患者排尿时间、排便时间和并发症的发生率均低于对照组,观察组患者肝功能恢复优于对照组,主要是谷丙转氨酶和直接胆红素、间接胆红素低于对照组,血浆白蛋白高于对照组患者。满意度为88%,高于对照组,组间差异均有统计学意义(均P<0.05)。结论早期进食能有效降低肝癌介入栓塞术后并发症的发生率,值得推广应用。

Objective To analyze the clinical efficacy of early eating to reduce the complications after embolization surgery in liver cancer.Methods From 2010 to 2012,200 cases of liver cancer after embolization patients were divided into two groups by random number table method,the control group,100 patients began to eat normally after 6 hours,100 cases of the observation group after 2 hours eating liquid,6 hours after return to normal diet.Comparison of two groups of patients with postoperative voiding time,the first defecation time,nausea、vomiting、gastrointestinal reactions of the number of cases and thirst、abdominal distension、poor feeding,the incidence of postoperative complications occurred.Results Of the observation group the urination time、defecation time and the incidence of complications were lower than that of the control group,the liver function recovery of the observation group were good than that of the control group,mainly in alanine aminotransferase and direct bilirubin,indirect bilirubin lower than the control group,plasma albumin higher than the control group,satisfaction 88% was higher than that in control group,the difference between the groups was statistically significant（P0.05）.Conclusions Early feeding can effectively reduce the incidence of liver cancer after interventional embolization complications,should be widely applied.