[1]张春花,樊 俭.循证护理在肝癌手术无瘤技术配合中的应用[J].医学信息,2019,32(22):185-187.[doi:10.3969/j.issn.1006-1959.2019.22.066]
 ZHANG Chun-hua,FAN Jian.Application of Evidence-based Nursing in the Technique of Tumor-free Technique for Liver Cancer Surgery[J].Journal of Medical Information,2019,32(22):185-187.[doi:10.3969/j.issn.1006-1959.2019.22.066]
点击复制

循证护理在肝癌手术无瘤技术配合中的应用()
分享到:

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
32卷
期数:
2019年22期
页码:
185-187
栏目:
护理研究
出版日期:
2019-11-15

文章信息/Info

Title:
Application of Evidence-based Nursing in the Technique of Tumor-free Technique for Liver Cancer Surgery
文章编号:
1006-1959(2019)22-0185-03
作者:
张春花樊 俭
(江苏省启东市人民医院手术室,江苏 启东 226200)
Author(s):
ZHANG Chun-huaFAN Jian
(Operation Room,Qidong People's Hospital,Qidong 226200,Jiangsu,China)
关键词:
循证护理肝癌手术无瘤技术护理配合
Keywords:
Evidence-based nursingLiver cancer surgeryTumor-free technologyNursing cooperation
分类号:
R473
DOI:
10.3969/j.issn.1006-1959.2019.22.066
文献标志码:
A
摘要:
目的 探讨循证护理在肝癌手术无瘤技术配合中的价值。方法 选择2014年6月~2018年6月我院80例接受肝癌切除术患者作为研究对象,按照随机数字表法分为对照组和观察组,每组40例。对照组给予常规肝癌手术护理配合,观察组循证护理基础上无瘤技术配合,比较两组肿瘤医源性腹腔内或创面种植转移发生率。结果 对照组术后出现3例肿瘤腹腔种植转移,占7.50%;1例肿瘤肝脏创面转移,占2.50%。观察组未发现医源性腹腔肿瘤种植和创面转移病例。两组肿瘤腹腔种植转移及肿瘤肝脏创面转移发生率比较,差异有统计学意义(P<0.05)。结论 循证指导下严格实施系列化无瘤技术,能够有效防范医源性肿瘤细胞播散及种植,改善预后。
Abstract:
Objective To explore the value of evidence-based nursing in the technical cooperation of liver cancer surgery. Methods From June 2014 to June 2018, 80 patients who underwent liver cancer resection in our hospital were selected as subjects. According to the random number table method, they were divided into control group and observation group, 40 cases in each group. The control group was given routine surgical treatment of liver cancer. The observation group was based on evidence-free nursing and combined with tumor-free technique. The incidence of iatrogenic intra-abdominal or wound implant metastasis was compared between the two groups. Results In the control group, 3 cases of tumor peritoneal metastasis occurred in the control group, accounting for 7.50%; 1 case of tumor liver metastasis, accounting for 2.50%. No cases of iatrogenic abdominal tumor implantation and wound metastasis were found in the observation group. There was a statistically significant difference in the incidence of tumor peritoneal metastasis and tumor liver metastasis between the two groups (P<0.05). Conclusion Evidence-based strict implementation of serialized tumor-free technology can effectively prevent the spread and planting of iatrogenic tumor cells and improve the prognosis.

参考文献/References:

[1]戴朝六,贾昌俊.具高转移风险肝癌的预测及其多学科综合治疗方式优化选择[J].中国实用外科杂志,2016(6):630-636. [2]扈彩霞,郑加生,林伟,等.原发性肝癌微波消融术后早期复发危险因素分析[J].临床肝胆病杂志,2015,31(2):228-231. [3]周滋霞,顾则娟.携带肿瘤脱落细胞的手术器械及处理方法研究进展[J].护理学报,2011,18(10A):12-14. [4]张剑英,周滋霞,顾则娟.无水乙醇灭活体外肿瘤细胞的时间效应研究[J].中华护理杂志,2012,47(4):339-340. [5]李俊杰,蒋文涛,田大治,等.肝癌肝移植术中无瘤技术[J].实用器官移植电子杂志,2017,5(4):266-267. [6]赵学涛,杨从容,任晓亮,等.红细胞输注对肝癌患者CD4+T辅助细胞免疫功能的影响[J].河北医科大学学报,2015,36(7):803-806.

相似文献/References:

[1]游琪华.循证护理与单纯全程陪产护理模式在产科分娩中的应用与对比研究[J].医学信息,2018,31(01):179.[doi:10.3969/j.issn.1006-1959.2018.01.072]
 YOU Qi-hua.The Application and Comparative Study of Evidence-based Nursing and Pure Whole Course Paternity Nursing Mode in Obstetric Delivery[J].Journal of Medical Information,2018,31(22):179.[doi:10.3969/j.issn.1006-1959.2018.01.072]
[2]陈世秋.循证护理在降低剖宫产术后感染及改善 产妇生存质量中的效果研究[J].医学信息,2018,31(09):169.[doi:10.3969/j.issn.1006-1959.2018.09.056]
 CHEN Shi-qiu.Effect of Evidence-based Nursing on Reducing Infection after Cesarean Section and Improving Maternal Quality of Life[J].Journal of Medical Information,2018,31(22):169.[doi:10.3969/j.issn.1006-1959.2018.09.056]
[3]史 娜.循证护理在预防人工髋关节置换术后合并深静脉血栓的应用[J].医学信息,2019,32(08):188.[doi:10.3969/j.issn.1006-1959.2019.08.061]
 SHI Na.Application of Evidence-based Nursing in Preventing Deep Venous Thrombosis after Artificial Hip Joint Replacement[J].Journal of Medical Information,2019,32(22):188.[doi:10.3969/j.issn.1006-1959.2019.08.061]
[4]徐 艳.循证护理干预对急性心梗患者住院早期的症状及 心理状态改善作用分析[J].医学信息,2019,32(15):179.[doi:10.3969/j.issn.1006-1959.2019.15.061]
 XU Yan.Effect of Evidence-based Nursing Intervention on Symptom and Psychological State Improvement in Patients with Acute Myocardial Infarction[J].Journal of Medical Information,2019,32(22):179.[doi:10.3969/j.issn.1006-1959.2019.15.061]
[5]侯姗姗.循证护理对心电监护仪监测心律失常患者心理状态及心功能的影响[J].医学信息,2019,32(19):182.[doi:10.3969/j.issn.1006-1959.2019.19.062]
 HOU Shan-shan.Effect of Evidence-based Nursing on Psychological Status and Cardiac Function of Patients with Arrhythmia Monitored by ECG Monitor[J].Journal of Medical Information,2019,32(22):182.[doi:10.3969/j.issn.1006-1959.2019.19.062]
[6]李灵玉,邹树芳,刘衍芮,等.脊柱术后早期静脉血栓栓塞危险因素的Meta分析[J].医学信息,2022,35(16):55.[doi:10.3969/j.issn.1006-1959.2022.16.012]
 LI Ling-yu,ZOU Shu-fang,LIU Yan-rui,et al.Meta Analysis of Risk Factors for Early Venous Thromboembolism After Spinal Surgery[J].Journal of Medical Information,2022,35(22):55.[doi:10.3969/j.issn.1006-1959.2022.16.012]
[7]单翠芹,陈书梅.循证护理对妊娠期高血压患者分娩方式及并发症的影响[J].医学信息,2019,32(22):183.[doi:10.3969/j.issn.1006-1959.2019.22.065]
 SHAN Cui-qin,CHEN Shu-mei.Effect of Evidence-based Nursing on Delivery Methods and Complications in Patients with Hypertensive Disorder Complicating Pregnancy[J].Journal of Medical Information,2019,32(22):183.[doi:10.3969/j.issn.1006-1959.2019.22.065]
[8]王艳杰,冯 莉.成人外周静脉导管更换时间最新证据解读[J].医学信息,2020,33(17):184.[doi:10.3969/j.issn.1006-1959.2020.17.057]
 WANG Yan-jie,FENG Li.Interpretation of the Latest Evidence on the Replacement Time of Peripheral Venous Catheters in Adults[J].Journal of Medical Information,2020,33(22):184.[doi:10.3969/j.issn.1006-1959.2020.17.057]
[9]刘 斌.循证护理模式联合健康教育对急性胰腺炎患者应激心理和生活质量的影响[J].医学信息,2022,35(07):186.[doi:10.3969/j.issn.1006-1959.2022.07.050]
 LIU Bin.Effect of Evidence-based Nursing Model Combined with Health Education on Stress Psychology and Quality of Life in Patients with Acute Pancreatitis[J].Journal of Medical Information,2022,35(22):186.[doi:10.3969/j.issn.1006-1959.2022.07.050]
[10]徐娇瑾.健康教育导向的循证护理干预对尿毒症血液透析患者血管通路依从性和生活质量的影响[J].医学信息,2022,35(01):190.[doi:10.3969/j.issn.1006-1959.2022.01.049]
 XU Jiao-jin.Effect of Health Education-oriented Evidence-based Nursing Intervention on Vascular Pathway Compliance and Quality of Life in Uremic Hemodialysis Patients[J].Journal of Medical Information,2022,35(22):190.[doi:10.3969/j.issn.1006-1959.2022.01.049]

更新日期/Last Update: 2019-11-15