摘要
目的观察中医护理适宜技术改善原发性肝癌患者术后症状管理的临床疗效。方法选取2022年1月—2023年3月赣州市第五人民医院收治的行经导管肝动脉化疗栓塞术(TACE)+肝动脉灌注化疗(HAIC)的80例原发性肝癌患者,随机分组。对照组行常规护理,观察组在此基础上联合中医护理适宜技术,对比两组实体瘤疗效、疼痛情况、生活质量、情绪状态及术后不良反应。结果观察组实体瘤治疗总有效率为65.00%(26/40),明显高于对照组的40.00%(16/40)(P<0.05)。干预前,两组视觉模拟评分量表(VAS)评分、卡氏功能状态评分(KPS)、Zung’s焦虑自评量表(SAS)评分、Zung’s抑郁自评量表(SDS)评分及肝功能各指标水平比较,差异均无统计学意义(P>0.05)。干预后,观察组VAS评分、SAS评分及SDS评分明显低于对照组(P<0.05),而KPS评分明显高于对照组(P<0.05);丙氨酸氨基转移酶(ALT)、天冬氨酸氨基转移酶(AST)及总胆红素(TBIL)水平均明显低于对照组(P<0.05),而白蛋白(ALB)水平高于对照组(P<0.05)。观察组术后不良反应发生率明显低于对照组(P<0.05)。结论中医护理适宜技术可有效提升行TACE+HAIC的原发性肝癌患者术后症状管理效果,并改善患者肝功能,提升临床疗效和生活质量。
Objective To observe the clinical effect of traditional Chinese medicine nursing appropriate techniques for improving postop⁃erative symptom management of patients with hepatocellular carcinoma.Methods Eighty patients with hepatocellular carcinoma who underwent TACE+HAIC from January 2022 to March 2023 in The Fifth People’s Hospital of Ganzhou were selected and randomly di⁃vided into two groups.The control group performed routine care,and the observation group performed traditional Chinese medicine nursing appropriate technology on the basis of routine care.The efficacy of solid tumour efficacy,pain,quality of life,emotional state and postoperative adverse reaction efficacy of the two groups was compared.Results The total effective rate of solid tumor treatment in observation group was 65.00%(26/40),which was significantly higher than that in control group(40.00%,16/40)(P<0.05).Before inter⁃vention,there were no significant differences in visual analogue Scale(VAS)scores,KPS scores,Zung’s self-rating Anxiety Scale(SAS)scores,Zung’s Self-rating Depression Scale(SDS)scores and liver function indexes between the two groups(P>0.05).After in⁃tervention,VAS score,SAS score and SDS score in observation group were significantly lower than those in control group(P<0.05),while KPS score was significantly higher than that in control group(P<0.05).The levels of alanine aminotransferase(ALT),aspartate aminotransferase(AST)and total bilirubin(TBIL)were significantly lower than those of control group(P<0.05),while the levels of al⁃bumin(ALB)were higher than those of control group(P<0.05).The incidence of postoperative adverse reactions in the observation group was significantly lower than that in the control group(P<0.05).Conclusion The traditional Chinese medicine nursing technology can effectively improve the symptom management effect of TACE+HAIC patients with hepatocellular carcinoma,and improve liver function,clinical efficacy and quality of life.
作者
王芳芳
冯新韦
卢致婷
钱日红
赖小欢
肖良华
WANG Fangfang;FENG Xinwei;LU Zhiting;QIAN Rihong;LAI Xiaohuan;XIAO Lianghua(Department of Nursing,The Fifth People’s Hospital of Ganzhou,Jiangxi Province,Ganzhou 341000,China;Department of Function,The Fifth People’s Hospital of Ganzhou,Jiangxi Province,Ganzhou 341000,China;Department of Interventional Hepatology,The Fifth People’s Hospital of Ganzhou,Jiangxi Province,Ganzhou 341000,China)
出处
《中国中医药现代远程教育》
2024年第11期160-163,共4页
Chinese Medicine Modern Distance Education of China
基金
江西中医药管理局科技计划【No.2022B232】。
关键词
痞气
原发性肝癌
中医护理适宜技术
经导管肝动脉化疗栓塞术
肝动脉灌注化疗
chronic splenomegaly
hepatocellular carcinoma
traditional Chinese medicine nursing appropriate techniques
transcath⁃eter hepatic arterial chemoembolization
hepatic arterial perfusion chemotherapy
作者简介
通信作者:肖良华,1124855218@qq.com。
