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目的探讨围手术期护理对行射频消融的原发性肝癌患者治疗效果的影响。方法选取2014年7月至2016年2月间绵阳市中心医院收治的74例行射频消融治疗的原发性肝癌患者,采用随机数表法分为观察组和对照组,每组37例。观察组患者采用围手术期护理,对照组患者采用常规术后护理。观察比较两组患者术后2周的肿瘤缩小率、肿瘤完全坏死率、术后并发症发生情况及术后1个月首次完全消融率。结果观察组患者的术后并发症发生率为2.7%,低于对照组患者的18.9%,观察组患者术后1个月首次完全消融率为94.6%,高于对照组患者的78.4%,影像学检查显示观察组患者术后2周的肿瘤缩小率和肿瘤完全坏死率分别为78.4%和54.1%,高于对照组患者的56.8%和35.1%,差异均有统计学意义(均P<0.05)。结论对行射频消融治疗的原发性肝癌患者实施围手术期护理,能够提高患者首次完全消融率和射频消融治疗的安全性,改善射频消融治疗效果。
Objective To investigate the effect of perioperative nursing on patients with primary liver cancer underwent radiofrequency ablation. Methods From July 2014 to February 2016, 74 patients with primary hepatocellular carcinoma treated by radiofrequency catheter ablation in Mianyang Central Hospital were randomly divided into observation group and control group with 37 cases in each group. Patients in the observation group were treated with perioperative nursing, and patients in the control group were treated with conventional postoperative care. The rates of tumor shrinkage, complete tumor necrosis, postoperative complications and the first complete ablation rate at 1 month after operation were observed and compared between the two groups. Results The incidence of postoperative complications in the observation group was 2.7%, which was lower than 18.9% in the control group. The first complete ablation rate in the observation group was 94.6% at 1 month after surgery, 78.4% higher than that in the control group The study showed that the tumor shrinkage rate and complete tumor necrosis rate in the observation group were 78.4% and 54.1% at 2 weeks after operation, which were significantly higher than those in the control group (56.8% and 35.1%, both P <0.05 ). Conclusion Perioperative nursing care for patients with primary liver cancer undergoing radiofrequency catheter ablation can improve the safety of patients with complete ablation and radiofrequency ablation and improve radiofrequency ablation.