多学科协作干预模式在TACE治疗原发性肝癌患者中的应用效果

The application value of multi-disciplinary team intervention mode in HCC patients receiving TACE

目的探讨多学科协作(MDT)干预模式在TACE治疗原发性肝癌患者中的应用效果。方法选取2018年1月至2020年1月行TACE治疗的112例原发性肝癌患者作为研究对象,采用便利抽样法,将血管介入一病区的患者作为研究组,介入二病区的患者作为对照组。对照组采用传统干预模式,研究组采取在传统干预模式的基础上组建多学科团队,实施围术期患者管理路径的MDT干预模式。比较两组患者术后首次进食水时间、首次排便时间、焦虑、疼痛得分及并发症的发生率、患者满意度。结果与对照组相比,研究组术后首次进食水时间、术后排便时间明显提前、焦虑得分降低、并发症的发生率减少,患者满意度提高。结论原发性肝癌介入治疗围术期MDT干预模式的构建与实施,降低了患者术后并发症及不良情绪的发生率,提高了患者的满意度,值得临床借鉴。

Objective To discuss the application value of multi-disciplinary team(MDT) intervention mode in patients with hepatocellular carcinoma(HCC) who are treated with transcatheter arterial chemoembolization(TACE). Methods A total of 112 HCC patients, who received TACE between January 2018 and January2020 at Handan Municipal Central Hospital of China, were enrolled in this study. By using convenient sampling method, the patients hospitalized in Division I of Vascular Intervention Department were classified in the study group, while the patients hospitalized in Division II of Vascular Intervention Department were classified in the control group. Traditional intervention mode was executed for the patients of the control group, while for the patients of the study group, based on the traditional intervention mode, additional perioperative MTD intervention mode was carried out. After treatment, the time to take the postoperative first meal/water, the time to make the postoperative first defecation, the anxiety score, the pain score, the incidence of complications, and the patient satisfaction degree were compared between the two groups.Results Compared with the control group, in the patients of the study group both the time to take the postoperative first meal/water and the time to make the postoperative first defecation were significantly earlier,the anxiety score and the incidence of complications were effectively decreased, and the patient satisfaction degree was obviously improved. Conclusion The establishment and implementation of MDT intervention mode in perioperative period for HCC patients receiving TACE can effectively reduce the incidence of postoperative complications and the degree of negative emotions, while the satisfaction degree of patients can be remarkably improved. Therefore, MDT intervention mode is worthy of clinical reference.(J Intervent Radiol, 2021, 30: 1057-1060)