细节护理在肝癌切除术患者围术期护理中的应用及对其炎症反应发生的影响

祝慧艳　　叶冠雄　　郑真珍

[关键词] 细节护理;肝癌切除;炎症反应;围术期

[中图分类号] R473.5          [文献标识码] B          [文章编号] 1673-9701（2021）20-0180-04

The application of detailed nursing in the perioperative nursing of patients undergoing liver cancer resection and its influence on the occurrence of inflammation

ZHU Huiyan   YE Guanxiong   ZHENG Zhenzhen

Department of Hepatobiliary and Pancreatic Surgery， Lishui People′s Hospital in Zhejiang Province， Lishui   323000，China

[Abstract] Objective To explore the application of detailed nursing in the perioperative nursing of patients undergoing liver cancer resection and its impact on the occurrence of inflammatory reactions. Methods Sixty-eight patients who came to our hospital for primary liver cancer resection from September 2017 to September 2019 were retrospectively analyzed. According to the different nursing methods selected by the patients during the perioperative period， they were divided into observation group and control group. The observation group （n=38） received refined nursing. The control group （n=30） received routine nursing. The time of hospitalization， wound healing， drainage tube removal， anal exhaust time， the incidence of complications， CRP level， and satisfaction score between the observation group and the control group were compared. Results The hospitalization time， wound healing time， drainage tube removal time， and anal exhaust time of the observation group were significantly less than those of the control group （P<0.05）.The CRP level after detailed nursing in the observation group was significantly higher than that of the control group after routine nursing（P<0.05）. The satisfaction score of the observation group was （8.12±0.74）points， which was significantly higher than that （6.14±0.24） points of the control group（P<0.05）. Conclusion Detailed nursing can effectively shorten the time of hospitalization， wound healing，drainage tube removal， and anal exhaust， reduce the incidence of complications and inflammation，and promote the satisfaction of patients with the nursing population. It shows that detailed nursing has a good effect in the perioperative nursing of patients undergoing liver cancer resection and is worthy of popularization and application.

[Key words] Detailed nursing; Liver cancer resection; Inflammatory response; Perioperative period

原發性肝癌（Primary liver cancer，PLC）在我国临床上是一种较为常见的肿瘤[1-2]，目前，手术切除是最为有效的治疗方法[3]，但是由于该手术对于患者造成的创伤较大，并且由于术后胃管、导尿管等一系列措施会严重降低患者的生存质量[4-5]，对患者的生理、心理造成不利影响，影响患者的术后恢复[6]。因此，对于肝癌切除患者的围术期实施有效护理在临床上具有具有重要意义。虽然，目前临床上的常规护理手段已经对改善手术效果有了良好作用，但是在目前以患者为中心的治疗理念下，这样的护理效果仍然存在不足，仍迫切需要进一步提高患者的生理及心理护理效果。基于此，本研究利用精细化护理手段研究细节护理在肝癌切除术患者围手术护理中的应用及对患者炎症反应发生的影响，现报道如下。