无缝隙管理在经皮射频消融治疗血管畸形患者中的应用

Application of seamless management in patients with percutaneous radiofrequency ablation of vascular malformations

目的探讨无缝隙管理在经皮射频消融(PRFA)治疗血管畸形(VM)患者中的应用效果。方法选择2017年3月至2020年12月山东省临沂市肿瘤医院收治PRFA治疗VM患者160例,根据随机数字表法将其分为对照组(80例)和研究组(80例)。对照组予以临床常规的管理方法,研究组采用无缝隙管理。比较两组心理状态、疼痛程度及生活质量情况。结果干预后,两组焦虑自评量表评分、抑郁自评量表评分低于干预前,且研究组低于对照组,差异有统计学意义(P<0.05)。两组视觉模拟评分法(VAS)评分时间、组间及交互作用比较,差异有统计学意义(P<0.05)。其中,两组术后12、24 h VAS评分低于术后2 h,且术后24 h低于术后12 h,差异有统计学意义(P<0.05);研究组术后2、12、24 h VAS评分低于对照组,差异有统计学意义(P<0.05)。干预后,两组生活质量量表各维度评分高于干预前,且研究组高于对照组,差异有统计学意义(P<0.05)。结论无缝隙管理能够改善PRFA治疗VM患者不良情绪,缓解术后疼痛感,提高生活质量。

Objective To investigate the application effect of seamless management in percutaneous radiofrequency ablation(PRFA)in patients with vascular malformation(VM).Methods A total of 160 patients with VM treated with PRFA from March 2017 to December 2020 in Linyi Cancer Hospital of Shandong Province were selected and divided into control group(80 cases)and study group(80 cases)according to the random number table method.The control group was given clinical routine management methods,while the research group was given seamless management.The psychological state,pain level,and quality of life were compared between the two groups.Results After the intervention,the scores of the anxiety self-rating scale and the depression self-rating scale in the two groups were lower than those before the intervention,while the research group was lower than the control group,and the differences were statistically significant(P<0.05).There were significant differences in visual analogue scale(VAS)score time,between groups and interaction between the two groups(P<0.05).Among them,the VAS scores at 12 and 24 hours after operation in the two groups were lower than those at 2 hours after operation,while the VAS scores at 24 hours after operation were lower than those at 12 hours after operation,and the differences were statistically significant(P<0.05).The VAS scores at 2,12,and 24 h were lower than those in the control group,and the differences were statistically significant(P<0.05).After the intervention,the scores of the short-form 36 item health survey dimensions in the two groups were higher than those before the intervention,while those of the study group were higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusion Seamless management can improve the negative emotions,relieve postoperative pain,and improve the quality of life in patients with VM treated with PRFA.