[1]田文静,蔡平凡,王 莹,等.改良式腰托联合骨科患肢制动固定装置的设计及肝癌介入术后应用[J].介入放射学杂志,2021,30(06):621-625.
 TIAN Wenjing,CAI Pingfan,WANG Ying,et al.The design of improved lumbar support combined with orthopedic limb-immobilization device and its application in liver cancer patients after receiving interventional therapy[J].journal interventional radiology,2021,30(06):621-625.
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改良式腰托联合骨科患肢制动固定装置的设计及肝癌介入术后应用()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
30
期数:
2021年06
页码:
621-625
栏目:
护理论坛
出版日期:
2021-06-26

文章信息/Info

Title:
The design of improved lumbar support combined with orthopedic limb-immobilization device and its application in liver cancer patients after receiving interventional therapy
作者:
田文静 蔡平凡 王 莹 安学伟 王敏洁 田 丽
Author(s):
TIAN Wenjing CAI Pingfan WANG Ying AN Xuewei WANG Minjie TIAN Li.
Department of Surgery, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
关键词:
【关键词】 肝癌 介入术 止血 舒适度
文献标志码:
A
摘要:
【摘要】 目的 探讨自行设计腰托联合骨科患肢制动固定装置在肝癌患者介入术后的应用效果。方法 将腰拖、加压沙袋、患肢固定装置三部分融合,设计形成腰托联合骨科患肢制动固定装置。选取2019年1月至12月确诊为肝癌,介入术患者100例为研究对象,随机分为观察组(50例)和对照组(50例),两组均接受常规术后护理,对照组采用手工联合沙袋加压包扎、制动止血,观察组采用改良式腰拖联合骨科患肢制动固定装置进行止血和制动,比较两组术后止血效果、患者舒适度及皮肤损伤程度。结果 观察组术后出血/渗血及沙袋掉落次数明显少于对照组,术后排尿困难、腰酸背痛、穿刺侧不适发生率和疼痛度明显低于对照组,但术后护理装置所致皮肤损伤的概率与对照组相比无显著差异。 结论 腰托联合骨科患肢制动固定装置可以提高肝癌患者介入术后止血效果和舒适度,使用安全,提高护士工作效率。

参考文献/References:

[1] Jemal A,Bray F,Center MM, et al. Global cancer statistics[J]. CA Cancer J Clin, 2011, 61: 69-90.
[2] Wu MF,Gao SS,Song HD,et al.Percutaneous microwave ablation combined with simultaneous transarterial chemoembolization for hepatocellular carcinoma with macrovascular invasion or extra-hepatie metastases[J]. J Intervent Med, 2019, 2:55-59.
[3] Braunwarth E, Stattner S, Fodor M, et al. Surgical techniques and strategies for the treatment of primary liver tumours: hepato-cellular and cholangiocellular carcinoma[J]. Eur Surg, 2018, 50:100-112.
[4] 柏基香,王存祖,徐 敏. 自制新型约束带在神经外科躁动患者中的应用[J]. 中华现代护理杂志, 2013, 19: 3921-3923.
[5] 张先军,轧春妹,耿 丽,等. 动脉压迫止血器应用于肝癌介入术后患者效果的Meta分析[J]. 中华护理杂志, 2016, 51: 874- 880.
[6] 李 炎,黎世勤. 自制髋关节支具在经股动脉穿刺途径介入手术后的应用效果[J]. 山西医药杂志, 2018, 47: 735-737.
[7] 金华市中心医院. 用于血管介入术后的下肢制动固定器[P]. 中国专利:CN106618906A, 2017- 05-10.
[8] 覃芳红,梁 贤,卜秀群,等. 实施护理专案降低脑血管介入术后穿刺部位渗血发生率[J]. 护理学杂志, 2016, 11: 5- 8.
[9] 郑明霞,游桂英,秦 容,等. 弹力绷带“8”字包扎法对经皮穿刺股动脉行心脏介入诊疗后伤口出血或血肿发生率的影响[J]. 华西医学, 2011, 26: 1887-1888.
[10] Suwarman HSY. Preoperative intravenous methylprednisolone to reduce postoperative pain: VAS Assessment[J]. Global J Surg, 2016, 4: 5-8.
[11] 褚万立,郝岱峰. 美国国家压疮咨询委员会2016年压力性损伤的定义和分期解读[J]. 中华损伤与修复杂志(电子版), 2018, 13:64- 68.
[12] Tu J, Jia Z, Ying X, et al. The incidence and outcome of major complication following conventional TAE/TACE for hepatocellular carcinoma[J]. Medicine(Baltimore), 2016, 95:e5606.
[13] Tavris DR,Wang Y, Jacobs S,et al. Bleeding and vascular compli- cations at the femoral access site following percutaneous coronary intervention(PCI): an evaluation of hemostasis strategies[J]. J Invasive Cardiol, 2012, 24:328-334.
[14] 许敏菊,陈新军,郑若龙,等. 两种血管闭合器在经股动脉途径冠状动脉介入治疗中的疗效及术后护理[J]. 护士进修杂志, 2012, 27: 1410-1412.
[15] 张成武,动脉压迫止血带在肝癌介入术后的止血效果[J]. 中国实用医刊, 2016, 43:20-21
[16] 苏小新.动脉压迫止血带对肝癌介入患者术后股动脉穿刺止血效果[J]. 中国伤残医学, 2015, 23: 167-168.

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备注/Memo

备注/Memo:
(收稿日期:2020-03-10)
  (本文编辑:俞瑞纲)
更新日期/Last Update: 2021-06-25