TACE术后加压制动裤在预防术后出血和压疮中的应用
|
摘要
目的探讨TACE术后加压制动裤在预防术后出血和压疮中的作用。方法选取2015年5月至2016年5月行肝癌经股动脉穿刺介入治疗的50例患者作为研究对象,将患者随机分为观察组和对照组,每组各25例。观察组采用TACE术后穿加压制动裤并按TACE术后护理常规执行,对照组按TACE术后护理常规并予沙袋压迫穿刺点6 h执行。观察两组患者穿刺点处局部淤血、血肿和假性动脉瘤指标的差异;观察两组患者的受压部位皮肤情况,有无皮肤潮湿感、灼热感、麻木感及发红情况。结果观察组出血发生率为4%,明显低于对照组的出血发生率32%。两组患者均无压疮发生,但是皮肤潮湿及灼热感、麻木感、皮肤发红方面,观察组优于对照组(P<0.05)。结论 TACE术后加压制动裤有预防术后出血、压疮发生的作用。该裤设计合理,结构简单,穿脱方便,提高了患者的舒适度及满意度,值得推广使用。
Objective To assess the clinical value of compression-braking pants in preventing postoperative bleeding and pressure sore after transcatheter arterial chemoembolization(TACE). Methods A total of 50 patients with liver cancer, who received interventional treatment via femoral artery route at authors' hospital during the period from May 2015 to May 2016, were enrolled in this study. The patients were randomly divided into observation group and control group with 25 patients in each group. In the observation group, the patients were asked to put on the compression-braking pants after TACE procedure and routine postoperative nursing care was executed as usual. In the control group, routine postoperative nursing care and compression of puncture point with sandbag were carried out. After TACE, the conditions of local congestion, local hematoma, formation of pseudoaneurysm at the puncture site, etc. in both groups were recorded. The local skin conditions, including skin moist feeling, burning sensation, feeling of numbness and rubefaction were determined. Results The postoperative bleeding incidence in the observation group was4%, which was obviously lower than 32% in the control group. No pressure sore occurred in both groups. In aspect of skin moist feeling, burning sensation, feeling of numbness and rubefaction, the observation group was significantly superior to the control group(P<0.05). Conclusion The use of compression-braking pants after TACE can effectively prevent the occurrence of postoperative bleeding and pressure sore. The compression-braking pants have reasonable design and simple structure, and it is easy to put on and take off the pants. The use of the pants can improve patient's comfort and satisfaction. Therefore, it is worth promoting its use in clinical practice.
Objective To assess the clinical value of compression-braking pants in preventing postoperative bleeding and pressure sore after transcatheter arterial chemoembolization(TACE). Methods A total of 50 patients with liver cancer, who received interventional treatment via femoral artery route at authors' hospital during the period from May 2015 to May 2016, were enrolled in this study. The patients were randomly divided into observation group and control group with 25 patients in each group. In the observation group, the patients were asked to put on the compression-braking pants after TACE procedure and routine postoperative nursing care was executed as usual. In the control group, routine postoperative nursing care and compression of puncture point with sandbag were carried out. After TACE, the conditions of local congestion, local hematoma, formation of pseudoaneurysm at the puncture site, etc. in both groups were recorded. The local skin conditions, including skin moist feeling, burning sensation, feeling of numbness and rubefaction were determined. Results The postoperative bleeding incidence in the observation group was4%, which was obviously lower than 32% in the control group. No pressure sore occurred in both groups. In aspect of skin moist feeling, burning sensation, feeling of numbness and rubefaction, the observation group was significantly superior to the control group(P<0.05). Conclusion The use of compression-braking pants after TACE can effectively prevent the occurrence of postoperative bleeding and pressure sore. The compression-braking pants have reasonable design and simple structure, and it is easy to put on and take off the pants. The use of the pants can improve patient's comfort and satisfaction. Therefore, it is worth promoting its use in clinical practice.
引文
[1]李臻,张恒辉,韩新巍,等.肝细胞癌TACE术后残留病灶的早期诊断现状与进展[J].介入放射学杂志,2015,24:1016-1020.
[2]刘磊,唐超峰,卢震辉,等.120例原发性肝癌TACE术后并发症的临床分析[J].宁夏医科大学学报,2014,36:433-435.
[3]Schoonhoven L,Defloor T,Gryrpdonck MH.Incidence of pressure ulcers due to surgery[J].J Clin Nuts,2002,11:479-487.
[4]胡爱玲,郑美春,李伟娟.现代伤口与肠造口临床护理实践[M].北京:中国协和医科大学出版社,2010:115.
[5]曾奕华,崔金波.Braden量表预测无创正压通气致鼻面部压疮研究[J].护士进修杂志,2013,28:2275-2278.
[6]杨省利,郭新红,张茹英,等.冠状动脉造影术后卧位与卧床时间的研究进展[J].中华护理杂志,2003,38:811-812.
[7]孙玉梅,张雪.手术压疮的护理研究与预防进展[J].护士进修杂志,2013,28:305-307.
[8]马长生,盖鲁粤,张奎俊,等.介入心脏病学[M].北京:人民卫生出版社,1998:428-430.
[9]齐丹青,姚济荣,杜汉萍,等.预见性护理降低股动脉穿刺点局部血肿发生率的研究[J].介入放射学杂志,2014,23:539-541.
[2]刘磊,唐超峰,卢震辉,等.120例原发性肝癌TACE术后并发症的临床分析[J].宁夏医科大学学报,2014,36:433-435.
[3]Schoonhoven L,Defloor T,Gryrpdonck MH.Incidence of pressure ulcers due to surgery[J].J Clin Nuts,2002,11:479-487.
[4]胡爱玲,郑美春,李伟娟.现代伤口与肠造口临床护理实践[M].北京:中国协和医科大学出版社,2010:115.
[5]曾奕华,崔金波.Braden量表预测无创正压通气致鼻面部压疮研究[J].护士进修杂志,2013,28:2275-2278.
[6]杨省利,郭新红,张茹英,等.冠状动脉造影术后卧位与卧床时间的研究进展[J].中华护理杂志,2003,38:811-812.
[7]孙玉梅,张雪.手术压疮的护理研究与预防进展[J].护士进修杂志,2013,28:305-307.
[8]马长生,盖鲁粤,张奎俊,等.介入心脏病学[M].北京:人民卫生出版社,1998:428-430.
[9]齐丹青,姚济荣,杜汉萍,等.预见性护理降低股动脉穿刺点局部血肿发生率的研究[J].介入放射学杂志,2014,23:539-541.