简介：　　 [摘要 ] 目的 探讨综合护理干预在肝动脉化疗栓塞术治疗结直肠癌肝转移中的作用。 方法 将 68例拟行肝动脉化疗栓塞术的结直肠癌肝转移患者随机分为观察组（ 34例）和对照组（ 34例），观察组进行综合护理干预， 对照组进行一般护理，观察两组患者术前焦虑情绪及术后生活质量。结果 观察组 HAMD和 HAMA值明显低于对照组（ P<0.05），且生活质量明显高于对照组（ P<0.05）。结论 对实施肝动脉化疗栓塞术的结直肠癌肝转移患者有必要实行综合护理干预。  　　 [关键词 ] 肝转移；结直肠癌； 肝动脉化疗栓塞术；综合护理干预  [Abstract] Objective To explore the effect of comprehensive nursing intervention in the treatment of colorectal cancer with liver metastasis by transcatheter arterial chemoembolization. Methods 68 cases of colorectal cancer patients with liver metastasis undergoing TACE were randomly divided into observation group (34 cases) and control group (34 cases). The observation group was given comprehensive nursing intervention, while the control group was given general nursing. Results the HAMD and HAMA values of the observation group were significantly lower than those of the control group (P < 0.05), and the quality of life was significantly higher than that of the control group (P < 0.05). Conclusion it is necessary to carry out comprehensive nursing intervention for colorectal cancer patients with liver metastasis undergoing TACE.

简介：　　【摘 要】目的：探讨个体化护理干预在肝癌介入治疗患者护理中应用效果。方法： 将 60 例患者随机分为对照组和干预组，对照组采用肝癌介入治疗常规护理。干预组在常规护理的基础上，加入个体化护理干预。结果：通过比较干预组和对照组并发症发生率，干预组明显低于对照组，两组患者护理满意度比较，干预组患明显高于对照组，差异有统计学意义（ P<0.05）。结论：个体化护理干预减少了并发症的发生，提高了护理满意度，有效的减轻患者不适感，提升了患者生活质量。  　　【关键词】个体化护理干预； 肝癌； 介入治疗； 效果  　　 [Abstract] Objective: To explore the application effect of individualized nursing intervention in patients with liver cancer undergoing interventional therapy. Methods: 60 patients were randomly divided into control group and intervention group. The control group was given routine nursing care of interventional therapy for liver cancer. On the basis of routine nursing, the intervention group added individualized nursing intervention. Results: by comparing the incidence of complications between the intervention group and the control group, the intervention group was significantly lower than the control group, and the nursing satisfaction of the two groups was significantly higher than that of the control group, the difference was statistically significant (P < 0.05). Conclusion: individualized nursing intervention can reduce the occurrence of complications, improve nursing satisfaction, effectively reduce the discomfort of patients, and improve the quality of life of patients.

简介：摘要

简介：摘要目的探讨在单次手术中进行导管消融和左心耳封堵术的心房颤动（房颤）一站式治疗的可行性和围术期安全性。方法该研究为观察性研究。连续入选2017年3月至2019年5月上海交通大学医学院附属新华医院收治的症状性、非瓣膜性房颤患者，在单次手术中进行房颤消融和Watchman左心耳封堵术的一站式治疗。评估患者的基线特征、手术成功率和围术期严重不良事件。结果共纳入358例房颤患者，男性189例（52.8%），年龄（69.0±8.0）岁，其中阵发性房颤162例（45.3%），持续或长程持续性房颤196例（54.7%），CHA2DS2-VASc评分（3.2±1.5）分，HAS-BLED评分（2.4±1.1）分。其中350例（97.8%）为先消融后封堵，8例（2.2%）为先封堵后消融；射频消融353例（98.6%），冷冻消融5例（1.4%）。所有患者成功完成肺静脉隔离，其中180例（50.3%）患者附加线性消融和/或基质改良。Watchman左心耳封堵器置入成功率为100%（358/358）。围术期严重不良事件共14例（3.9%）。其中操作相关的严重不良事件12例（3.4%），包括6例（1.7%）心包积液、1例（0.3%）卒中和5例（1.4%）血管穿刺并发症；2例（0.6%）患者发生急性左心衰竭；无大出血和死亡事件发生。结论对症状性、非瓣膜性房颤患者，导管消融联合左心耳封堵的一站式治疗具有良好的可行性和围术期安全性。