综合护理干预在经皮肝动脉化疗栓塞术治疗肝癌中的应用

Application of comprehensive nursing intervention in the treatment of transcatheter hepatic arterial chemoembolization for liver cancer

目的探讨综合护理干预在经皮肝动脉化疗栓塞术治疗肝癌中的效果。方法选取2010年8月～2013年4月在重庆三峡中心医院住院并行经皮肝动脉栓塞术治疗的肝癌患者100例为干预组，采取术前、术中以及术后综合护理，选取同时期仅接受临床常规护理的患者100例为对照组，观察比较两组患者术后出现腹痛、发热、胃肠道反应、术后尿潴留等不良反应，以及术后穿刺出血、消化道出血、肿瘤破裂、急性肾衰竭等并发症发生情况。结果结果显示，干预组患者在术后出现腹痛、发热、胃肠道反应和术后尿潴留的发生率分别为46％、39％、42％和15％，明显低于对照组（68％、57％、54％、32％），差异均有统计学意义（P〈0．05）。干预组术后出现并发症1例，发生率为1％，明显低于对照组（7例，7％），差异有统计学意义（P〈0．05）。结论对经皮肝动脉化疗栓塞术治疗肝癌的患者，给予必要的术前、术中以及术后的综合护理，并注意患者术后并发症的护理，能够明显缓解患者的病情，改善预后。

Objective To discuss the comprehensive nursing intervention on the curative effect of transcatheter hepatic arterial chemoembolization for liver cancer. Methods 100 patients with liver cancer who recieved transcatheter hepatic arterial chemoembolization were selected in Chongqing Three Gorges Central Hospital from August 2010 to April 2013 into intervention group, the preoperative, intraoperative and postoperative comprehensive nursing, were took. 100 pa- tients were selected during the same period who only accepted clinical routine nursing into the control group, two groups of patients with abdominal pain, fever, gastrointestinal reactions, postoperative urinary retention and other ad- verse reactions, and complications in puncture bleeding, gastrointestinal hemorrhage, tumor rupture, acute renal failure after surgery were observed and compared. Results The results showed, in the postoperative, the incidence of abdomi- nal pain, fever, gastrointestinal reaction and retention of urinethe in the intervention group were 46%, 39%, 42% and 15%, which were significantly lower than those in the control group （68%, 57%, 54% and 32%）, the differences were all statistically significant （all P 〈 0.05）. The intervention group postoperative complications occurred in 1 patient, the incidence rate was 1%, which was significantly lower than that in the control group （7%, 7 cases）, the difference was statistically significant （P 〈 0.05）. Conclusion Giving the patients with liver cancer who recieved transcatheter hepatic arterial chemoembolization, the necessary preoperative, intraoperative and postoperative nursing, and nursing care of complications in patients after operation, can reduce disease and improve the prognosis.