【摘要】 目的总结72例巨块型肝癌患者经TACE联合射频消融术(RFA)治疗的护理经验。方法术前对患者进行积极有效的心理干预和支持,介绍TACE联合RFA治疗的必要性、安全性和优越性,缓解患者焦虑、恐惧情绪;指导患者进行呼吸训练,以更好地适应和配合手术;术后严密观察肝肾功能及腹部疼痛等症状,并进行系统有效的护理,预防并发症的发生。结果患者经治疗和护理后,肿块均有缩小,肝动脉造影示肿瘤血管消失38例(53%),甲胎蛋白恢复正常60例(84%),均未发生严重并发症。结论TACE联合RFA治疗巨块型肝癌的护理能够取得良好的效果,提高患者的生活质量,延长生存期。更多还原

【Abstract】 Objective To summarize the nursing experience in 72 patients with massive hepatocellular carcinoma(MHCC) who received transcatheter arterial chemoembolization(TACE) combined with radiofrequency ablation(RFA). Methods Preoperative psychological intervention were performed through introducing the necessity, safety and superiority of TACE combined with RFA therapy in order to relieve patient’s anxiety and fear. Under instruction, the patients received respiratory training in order to cooperate with the operation more properly. After the treatment, the patients were kept under close observation for abdominal pain, hepatic and renal functions, etc., while systemic and effective nursing measures were carried out to prevent complications from happening. Results After active treatment and nursing, the tumor mass shrank obviously and decreased in size in all patients. Hepatic artery angiography showed that the tumors vessels disappeared in 38 cases(53%), alpha-fetoprotein(AFP) level returned to normal in 60 cases(84%). No serious complications occurred in all the 72 patients. Conclusion In treating massive hepatocellular carcinoma with TACE and RFA, active nursing care for patients can achieve excellent clinical effect, thus the patient’s quality of life can be improved and the survival time can be prolonged as well.更多还原