原发性肝癌介入术后栓塞综合征应用大柴胡汤加减口服配合中医特色护理实践研究

Practice Research of Dachaihu Decoction Taking Orally Combined with Special Nursing of Traditional Chinese Medicine on Patients with Embolism Syndrome after Primary Liver Cancer Interventional Therapy

目的：观察原发性肝癌介入术后栓塞综合征患者应用大柴胡汤加减口服配合中医特色护理的临床效果。方法：选取2012年7月—2017年8月收治的原发性肝癌介入术后栓塞综合征患者150例,随机分为研究组与对照组,各75例。对照组给予抗感染、保肝等对症治疗及常规护理,研究组另给予大柴胡汤加减配合中医特色护理。比较两组干预第1天及出院前中医证候积分及术后发热、腹痛、恶心呕吐持续时间和住院时间,并对比生活质量。结果：两组出院前中医证候积分均明显低于干预第1天（P〈0.05）,研究组出院前明显低于对照组（P〈0.05）;研究组术后发热、腹痛、恶心呕吐持续时间及住院时间均明显短于对照组（P〈0.05）;两组出院前功能领域及总体健康状况得分均明显高于干预第1天（P〈0.05）,研究组出院前均明显高于对照组（P〈0.05）;两组出院前症状领域及单测项目得分均明显低于干预第1天（P〈0.05）,研究组出院前均明显低于对照组（P〈0.05）。结论：大柴胡汤加减口服配合中医特色护理可明显加快原发性肝癌介入术后栓塞综合征患者临床症状改善,缩短住院时间,提高生活质量,值得推广应用。

Objective：To observe the clinical effect of Dachaihu Decoction taking orally combined with special nursing of traditional Chinese medicine on patients with embolism syndrome after primary liver cancer interventional therapy. Methods：150 patients with embolism syndrome after primary liver cancer interventional treatment were selected from July 2012 to August 2017 in our hospital,who were randomly divided into study group and control group,and there were 75 cases in each group. The control group was treated with symptomatic treatment of anti infection and liver protection and routine nursing,while the study group was given Dachaihu Decoction combined with special nursing of traditional Chinese medicine on the basis of the control group. The traditional Chinese medicine syndrome scores first day of intervention and before discharge and the duration time of fever,abdominal pain,nausea and vomiting and hospitalization time after operation of the two groups were compared,as well as the quality of life. Results：The scores of traditional Chinese medicine syndrome of the two groups before discharge were significantly lower than those of first day of intervention（P〈0.05）,of which the study group before discharge was significantly lower than that of the control group（P〈0.05）. The duration time of fever,abdominal pain,nausea and vomiting and hospitalization time of the study group after operation were significantly shorter than those of the control group（P〈0.05）. The scores of functional domains and general health status of the two groups before discharge were significantly higher than those of first day of intervention（P〈0.05）,of which the study group before discharge were significantly higher than those of the control group（P〈0.05）. The scores of the symptom areas and the single test items of the two groups before discharge were significantly lower than those of first day of intervention（P〈0.05）,of which the study group before discharge were significantly lower than those of the control group（P〈0.05）. Conclusion：Dachaihu Decoction taking orally combined with special nursing of traditional Chinese medicine can obviously accelerate the improvement of the clinical symptoms of the patients with embolism syndrome after primary liver cancer interventional therapy,shorten the hospitalization time and improve the quality of life,which is worth popularizing and applying.