摘要
目的了解原发性肝癌患者肝动脉化疗栓塞术(TACE)后住院天数及其影响因素。方法采用回顾性分析的方法收集接受TACE的310例原发性肝癌患者的临床及护理资料。采用方差分析、Spearman相关分析、多元线性回归模型对患者术后住院天数相关影响因素进行分析。结果碘油剂量、术后外周血中性粒细胞计数和比率、患者术后的发热程度、发热天数、疼痛程度、疼痛天数、腹胀程度与住院天数呈显著正相关(P<0.05),r分别为0.159、0.188、0.213、0.368、0.231、0.306、0.163。术后发热天数、肝区疼痛天数、腹胀程度、医保类型进入以住院天数为因变量的回归方程(P<0.05)。结论肝癌患者TACE后住院天数受多种因素影响。根据患者的身心状况和术中用药情况对患者术后并发症进行预见性治疗和护理可以降低或缓解并发症,进而缩短患者的住院时间。
Objective To discuss the hospitalization days for patients with hepatocellular carcinoma（HCC） after transcatheter hepatic arterial chemoembolization（TACE）, and to analyze the factors influencing the hospitalization days. Methods The clinical data and nursing information of 310 HCC patients receiving TACE were retrospectively analyzed. By using variance analysis, Spearman analysis and multivariable linear regression model, the relevant factors related to patient＇s hospitalization days were analyzed. Results The hospitalization days had a parallel relationship with the lipiodol dose used in procedure, the postoperative neutrophil percentage in peripheral circulation, the days of fever, the pain degree, the days of pain and the abdominal distension extent, with r being 0.159, 0.188, 0.213, 0.368, 0.231, 0.306 and 0.163 respectively（P〈0.05）. The postoperative days of fever, the postoperative days of pain at liver region, the abdominal distension and the type of medical insurance were included into the regression equation, in which the hospitalization day was used as a dependent variable（P 0.05）. Conclusion The hospitalization days of HCC patients receiving TACE are affected by many factors. Based on the patient＇s psychosomatic conditions and the medication used during the procedure, proper preventive treatments and nursing measures should be taken in order to lower the occurrence of complications and relieve the symptoms, and in this way to reduce the hospitalization days.
出处
《介入放射学杂志》
CSCD
北大核心
2015年第1期80-83,共4页
Journal of Interventional Radiology
基金
辽宁省科学技术计划项目(2013225021)
关键词
肝癌
肝动脉化疗栓塞术
住院天数
hepatic carcinoma
transcatheter hepatic arterial chemoembolization
hospitalization day
