摘要
目的观察肝癌开腹射频消融术(IRFA)与常规肝癌切除术后临床护理的异同点,以便进行针对性护理。方法90例肝癌患者分2组,其中开腹射频消融术42例为观察组,常规肝癌切除48例为对照组;分别观察2组术后并发症情况及恢复情况并进行统计学比较。结果肝癌开腹射频消融术较常规肝癌切除术并发症少、损伤小,恢复快,有显著性差异,除黄疸指数无显著性差异(P>0.05)外,术后2组发热、出血、腹水、胸腔积液人数,下床、肛门排气、住院天数均有显著性差异(P<0.05或P<0.01),IRFA术也有不同的并发症即血红蛋白尿,临床医疗护理不能忽视。结论肝癌开腹射频消融术拓宽了治疗肝癌的范围,其损伤小、并发症少、恢复快,但其并发症的观察还要不断总结。
Objective To observe the clinical nursing difference after intraoperative radio frequency ablation of liver cancer （IRFA） and regular liver cancer resection, and to give the patients a correct nursing plan. Methods 90 liver cancer patients were divided into two groups, the IRFA group with 42 patients as the observation group and the regular liver cancer resection group with 48 patients as the control group. The complications and recovery status of the two groups were observed and compared statistically. Results Patients in the observation group had few complications, smaller trauma, and recovered more quickly than those in the control group. There was a significant difference between the two groups, except there was no difference in the index of icterus （P 〉 0.05）. There were significances between the two groups in postoperative fever, hemorrhage, ascites, pleural effusion occurrence, status of getting out of bed, gas passage by anus, and hospital days （P 〈 0.05 or P 〈 0.01）. The IRFA group had the complication of hemoglobinuria, it should not be ignored in clinical nursing. Conclusions IRFA broadens the treatment range of liver cancer. It has few complications, smaller trauma, and recovered more quickly. Yet the observation of complications needs to be summarized continuously.
出处
《现代护理》
2006年第27期2557-2558,共2页
Modern Nursing
关键词
肝癌
开腹射频消融术
护理
Liver cancer
Intraoperative radio frequency ablation
Nursing
