张悦 陈玉梅 明岩 王多多

【摘要】目的：探讨优质护理在行肝动脉栓塞化疗术（TAE）治疗的原发性肝癌患者护理中的应用效果。方法：选取在我院从2018年1月至2019年1月收治的采用肝动脉栓塞化疗术（TAE）治疗的原发性肝癌患者144例，随机分成两组，對照组患者采用常规护理，观察组患者采用优质护理，对两组患者护理后的抑郁度及焦虑度进行分析并生活质量及并发症进行对比。结果：观察组患者护理后，出院时抑郁度及焦虑度改善明显，优于对照组患者，且观察组患者护理后生活质量有所提高，并发症发生率也低于对照组（P<0.05）。结论：对行肝动脉栓塞化疗术（TAE）治疗的原发性肝癌患者采用优质护理，不仅能够提高患者的生活质量，还能调节患者的不良情绪，减少患者术后并发症的发生，护理效果较高。

【关键词】优质护理；肝动脉栓塞化疗术（TAE）；原发性肝癌

[中图分类号]R473.73 [文献标识码]A [文章编号]2096-5249（2021）11-0142-02

To investigate the application effect of high quality nursing in patients with primary liver cancer treated by hepatic artery embolization and chemotherapy （TAE）

ZHANG-Yue， CHEN Yu-mei， MING Yan， WANG Duo-duo（Seventh Hospital of Qiqihar City， Qiqihar Heilongjiang 161006， China）

[Abstract] Objective： To investigate the application effect of high quality nursing in patients with primary liver cancer treated by hepatic artery embolization and chemotherapy（TAE）. Methods： Selected in our hospital from January 2018 to January 2019， the art of hepatic artery embolism chemotherapy（airport） treatment of 144 patients with primary liver cancer were randomly divided into 2 groups， control group were treated by routine nursing care， observation group were treated by high quality nursing， nursing of 2 groups of patients after the depression and anxiety degrees were analysed and the quality of life and complications were compared. Results： After nursing， the depression degree and anxiety degree of patients in the observation group were significantly improved， better than the control group， and the quality of life of patients in the observation group after nursing has been improved， the incidence of complications is lower than the control group（P<0.05）. Conclusion： High quality nursing for patients with primary liver cancer treated by hepatic artery embolization and chemotherapy（TAE）can not only improve the quality of life of patients， but also regulate the patients’ bad mood， reduce the incidence of postoperative complications， and the nursing effect is relatively high.

[Key words] Quality nursing； Transcatheter arterial chemoembolization （TAE）； primary carcinoma of liver

原发性肝癌是常见恶性肿瘤的一种，具体有较高的死亡率，对其治疗的最佳方法就是手术切除，但是由于各种原因，导致患者选择手术治疗的并不多，通常患者都采用姑息性的治疗方法，其中肝动脉栓塞化疗术最为常见[1]。该手术用Seldinger方法对患者经皮动脉进行穿刺，然后将导丝放置导管鞘中，然后将化疗药物或者栓塞药物灌入导管，进入患者体内进行治疗。该方法具有抗肿瘤效果较高，且系统毒性较低，治疗效果也较佳[2]。采用肝动脉栓塞化疗术（Transctheterhepatic artery chemoembolitation， TAE）治疗的患者除了治疗外更需要周密的护理，周密的护理能够提高患者治疗的效果，给予患者舒适的感受，帮助患者调节不良的情绪，因此周密的护理非常重要[3]。……