经皮肝穿刺射频消融联合肝动脉化疗栓塞治疗原发性小肝细胞癌疗效分析

经皮肝穿刺射频消融治疗肝癌的围术期护理效果观察发布时间：2021-09-02T16:09:32.890Z 来源：《中国医学人文》2021年18期作者：陈媛颜[导读] 观察经皮肝穿刺射频消融治疗肝癌的围术期护理效果。

陈媛颜黑龙江省密山市人民医院，黑龙江密山158300【摘要】目的：观察经皮肝穿刺射频消融治疗肝癌的围术期护理效果。

方法：选取我院在2017年1月至2021年1月期间经皮肝穿刺射频消融治疗的80例肝癌患者作为本次的研究对象，并根据入院时间分为对照组和观察组，对照组40例中，采取常规护理模式；观察组40例中，采取围术期全程护理模式。

观察并对比两组术后并发症情况；采用焦虑自评量表（SAS）和抑郁自评量表（SDS），分别对两组护理前后的心理状况进行评估对比。

结果：对照组术后并发症总发生率为95.0%，观察组术后并发症总发生率为37.5%，明显低于对照组（P<0.05）。

护理前，两组患者的SAS评分和SDS评分均无显著差异（P>0.05）；护理后，观察组患者的SAS和SDS评分均明显低于对照组（P<0.05）。

结论：对经PRFA治疗肝癌患者围术期间采取全程优质护理，能够有效降低患者术后并发症的发生几率，并帮助患者缓解焦虑、抑郁等负面情绪，促进患者生活质量的提高。

值得临床上推广应用。

【关键词】经皮肝穿刺；射频消融治疗；肝癌；围术期护理；效果观察Observation of perioperative nursing effect of radiofrequency ablation for liver cancer by percutaneous liver punctureChen yuanyan(people's Hospital of Mishan City, Heilongjiang Province, Mishan 158300)[Abstract]Objective: To observe the perioperative nursing effect of radiofrequency ablation of percutaneous liver puncture for liver cancer. Methods: 80 patients with liver cancer treated by RFA from January 2017 to January 2021 were selected as the research object, and were divided into control group and observation group according to the admission time. The control group took the routine nursing mode in 40 cases; The observation group 40 cases, the perioperative nursing mode. The complications of the two groups were observed and compared; The psychological status of the two groups before and after nursing was compared by SAS and SDS. Results: the total incidence of postoperative complications in the control group was 95.0%, and the total incidence of postoperative complications in the observation group was 37.5%, significantly lower than that of the control group (P<0.05). Before nursing, there was no significant difference between the two groups (P>0.05); After nursing, the SAS and SDS scores of the observation group were significantly lower than those in the control group (P<0.05). Conclusion: the whole process of high quality nursing for patients with liver cancer treated with PRFA can effectively reduce the incidence of postoperative complications, and help patients alleviate anxiety, depression and other negative emotions, and promote the improvement of the quality of life. It is worth popularizing and applying in clinic.[Key words] percutaneous liver puncture; Radiofrequency ablation; liver cancer; Perioperative nursing; Observation of effect肝癌是我国临床上较为常见的一种恶性肿瘤，对于早期患者，可通过肝切除术或肝移植等传统方法进行治疗，且具有较好效果[1]，而对于无法接受手术治疗的患者来说，经皮肝穿刺射频消融术（FRFA）是一种较为有效的治疗方式[2]，近年来由于影像学技术的持续发展，PRFA在应用于肿瘤治疗上取得了较为显著的效果，具有操作便捷、创口小、安全性高等治疗特点[3]，目前其临床疗效在医学界得到一定认可，但关于PRFA治疗肝癌围术期的护理方法以及对治疗效果的影响并未有较多报道[4]。