医护一体化联合加速康复外科理念对肝癌肝切除患者低蛋白血症的影响
禹球 徐晓平 赵敏[摘要] 目的 研究醫护一体化联合加速康复外科(ERAS)理念对肝癌肝切除患者低蛋白血症的影响。 方法 选取2014年8月~2017年1月湖南省人民医院收治的肝癌肝切除术后伴低蛋白血症患者78例,根据随机数字表法分为对照组和观察组,每组各39例。对照组患者采用医护一体化模式进行干预,观察组患者采用医护一体化联合ERAS理念进行干预。比较两组患者干预后疲劳感改善情况、并发症情况、负性情绪评分、营养指标和胰岛素样生长因子-1(IGF-1)、谷丙转氨酶(ALT)水平变化情况。 结果 干预后,两组疲劳感率、体重、握力均较干预前改善,差异有统计学意义(P 0.05)。 结论 肝癌肝切除后伴低蛋白血症患者采用医护一体化结合ERAS理念进行干预可减轻患者疲劳感,改善机体营养水平,降低患者血清IGF-1水平,减少患者负性情绪,提高患者满意度。
[关键词] 医护一体化;加速康复外科;肝癌;低蛋白血症
[中图分类号] R657.3 [文献标识码] A [文章编号] 1673-7210(2018)09(a)-0164-05
[Abstract] Objective To study the effect of medical and nursing integration combined with enhanced recovery after surgery (ERAS) on hypoproteinemia in hepatectomy patients. Methods From August 2014 to January 2017, in Hu'nan Provincial People′s Hospital, 78 patients with hypoproteinemia after hepatectomy were selected, according to the random number method, they were divided into the control group and observation group, with 39 cases in each group. The control group was given doctor and nurse integration, the observation group was given doctor and nurse integration combined with enhanced recovery. The improvement of fatigue feeling ......
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