浅析肝胆科手术患者疼痛的心身护理

目的：探讨肝胆科手术患者疼痛的心身护理的临床效果。方法：选取我院2013年12月至2014年12月期间收治的68例进行肝胆外科手术的患者为研究对象，对施行肝胆手术的患者使用针对性的临床护理措施，并对其临床资料进行统计分析，对比护理前后的相关数据。结果：68例接受临床针对性护理的行肝胆手术的患者，在护理期间的手术进展成功，未出现护理失误及并发症，均顺利康复出院。结论：采用针对性的临床护理，能够有效地缓解施行肝胆手术患者的疼痛，减少后续因负面情绪所带来的并发症，给患者的心身及后续康复方面带来极为有益的护理效果，值得在临床上推广此类针对性的护理措施。

Postoperative radiotherapy in locally advanced hepatic hilar cholangiocarcinoma

Objective: To evaluate the outcome of radiotherapy (RT) in locally advanced hepatic hilar cholangiocarcinoma. Methods: During March 1992 to December 1997, 47 patients who had positive microscopic surgical margins after surgery were treated by postoperative radiotherapy (S+RT, 28 patients, with a median dose of 50 Gy, 45–62 Gy) and surgery alone (S, 19 patients). The median follow-up was 30 months (4–113 months). Results: The overall 5-year survival rate was 28%, with a median survival length of 19.6 months while 5-year survival rates of S+RT group and S group were 34% and 14%, with median survival lengths of 29 and 10 months respectively (P=0.015). The occurrence rate of complications was 11% in either group. Conclusion: Postoperative radiotherapy significantly prolongs survival lengths in patients with hepatic hilar cholangio- carcinoma who had positive microscopic surgical margins. Radiation toxicities are tolerable.