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目的探讨综合护理干预对射频消融(RFA)治疗肝癌的临床疗效、并发症、生存质量的影响。方法选取2014年1月至2016年5月接受RFA治疗的120例原发性肝癌患者作为研究对象,根据就诊单双号分为综合护理组、常规护理组各60例,对比两种护理方法对患者临床治疗效果、并发症及生存质量。结果综合护理组患者的总有效率88.33%,常规护理组的总有效率83.33%,两组比较差异不具有统计学意义(P>0.05)。综合护理组患者的发热率6.67%、恶心呕吐发生率1.67%、腹痛率13.33%均低于常规护理组的21.67%、10.00%、28.33%(P均<0.05);术后4周,对两组患者的生存质量进行评价,综合护理组患者的生理功能、机体疼痛、健康总体评分、活力、情感职能、精神健康评分均高于常规护理组(P<0.05或P<0.01)。结论肝癌患者RFA治疗过程中采用综合护理干预虽然对患者的总体疗效影响不明显,但是可以显著降低手术并发症的发生率提高患者生存质量。
Objective To investigate the effect of comprehensive nursing intervention on the curative effect, complications and quality of life of radiofrequency ablation (RFA) in the treatment of liver cancer. Methods A total of 120 patients with primary liver cancer receiving RFA from January 2014 to May 2016 were enrolled in this study. According to the single and double numbers of treatment, 60 cases were divided into general nursing group and routine nursing group, respectively. Clinical effect of treatment, complications and quality of life. Results The total effective rate was 88.33% in the comprehensive nursing group and 83.33% in the conventional nursing group. There was no significant difference between the two groups (P> 0.05). The rate of fever was 6.67%, the incidence of nausea and vomiting was 1.67% and the rate of abdominal pain was 13.33% in general nursing group, which was 21.67%, 10.00% and 28.33% lower than that of routine nursing group (P <0.05) The patients’ quality of life was evaluated. The physical function, body pain, overall health score, vitality, emotional function and mental health score of the nursing group were all higher than those of the routine nursing group (P <0.05 or P <0.01). Conclusion Although comprehensive nursing intervention in the treatment of liver cancer patients with RFA has no obvious effect on the overall curative effect, it can significantly reduce the incidence of surgical complications and improve the quality of life of patients.