经导管超选眼动脉灌注化疗术治疗视网膜母细胞瘤患儿的围术期护理

Perioperative nursing of transcatheter ophthalmic artery chemotherapy in treatment of children with retinoblastoma

目的：总结经导管超选眼动脉灌注化疗术治疗视网膜母细胞瘤患儿围术期的护理效果。方法选择于2009年3月—2015年12月在广州市妇女儿童医疗中心介入科就诊的421例视网膜母细胞瘤患儿，实施经导管超选眼动脉灌注化疗术治疗，并配合全人护理方法。结果421例患儿手术均顺利进行，患儿于术后1周内出院。所有病例均未发生白血病、肝肾功能及听力损害等严重化疗毒性反应，无导管相关并发症。术后随访4~36个月，总体保眼率为：IIRC B期100％、IIRC C期100％、IIRC D期78.6％、IIRC E期62％。结论使用全人护理的服务理念，优化术后护理的流程，降低并发症的发生，重视患儿的生活护理，加强饮食指导、疼痛的护理，有利于患儿术后康复，提高患儿的生活质量。

Objective To summarize the nursing effect of transcatheter ophthalmic artery chemotherapy （ TOAC） in treatment of children with retinoblastoma during perioperative period. Methods From March 2009 to December 2015, 421 children hospitalized in invasive technology department of our hospital with retinoblastoma were treated by TOAC with holistic nursing method. Results All 421 children were performed TOAC successfully and discharged within 1 week. After interventional treatment, no serious complications such as leukemia, liver and kidney function and hearing impairment, etc. chemotherapy toxicity reaction appeared, and no catheter-related complications were found. Postoperative follow-up of 4-36 months, the overall eye-keeping rate was： IIRC B stage 100%, IIRC C stage 100%, IIRC D stage 78. 6%, IIRC E stage 62%. Conclusions The optimization process of postoperative nursing with the service concept of holistic nursing method can reduce the incidence of complications, draw more attention to life care, strengthen diet guidance and pain nursing, which is conducive to the rehabilitation of patients and improvement of the quality of children′life.