三种不同护理措施在卵巢癌患者HIPEC治疗中渗液管理的效果观察(1)
【摘 要】 目的：探讨卵巢癌患者行HIPEC治疗中三种不同护理措施针对患者腹腔灌注管周围渗液时的管理效果。方法：将2017年1月至2018年12月在解放军总医院妇科行HIPEC治疗的114例中晚期卵巢癌患者随机分为三组，分别为可塑贴环固定法组、胶布固定法组、腹壁加压包扎法组。观察三组患者腹腔灌注管周围渗液发生率、腹壁及皮肤刺激、损伤情况、患者主观舒适度。结果：可塑贴环固定法在HIPEC治疗中可显著降低腹腔灌注管松脱以及渗液现象、有效降低皮肤损伤率、提高患者舒适满意度。结论：可塑贴环固定法可减少卵巢癌患者HIPEC治疗中腹腔灌注管周围渗液发生率，减少不良事件的发生，保障护理安全。
【关键词】 渗液管理;HIPEC;卵巢癌;可塑贴环
To observe the management effect of exudate by three different nursing measures in the HIPEC treatment for patients with ovarian cancer
, 百拇医药
Wang Jing*， Liu Yanhua， Gao Junyi， Yang Bo， Chen Jianhua
Department of Gynecology， PLA General Hospital， Beijing 100853
[Abstract] Objective：To explore the management effect of three different nursing measures， which were used to administrate the exudate caused by peritoneal perfusion tube in the HIPEC treatment for patients with ovarian cancer . Methods： 114 patients with advanced ovarian cancer treated with HIPEC were randomly divided into three groups，who were hospitalized in the department of gynecology，PLA General Hospital from January 2017 to December 2018. Patients in these three groups were applied by plastic ring fixation， adhesive tape fixation and abdominal wall compression bandage，respectively. The incidence of peritoneal perfusion leakage， skin irritation or injury of abdominal wall and patients’ subjective feeling were observed. Results： Plastic ring fixation can reduce the loosening and exudation incidence of the peritoneal perfusion tube significantly， decreased the rate of skin damage and improve patients' subjective feeling effectively in the HIPEC treatment. Conclusion： Plastic ring fixation can reduce the incidence of peritoneal exudate and reduce the occurrence of adverse events in patients with ovarian cancer treated by HIPEC.
, 百拇医药
[Key words]Exudate management; Hyperthermic Intraperitoneal Chemotherapy(HIPEC); Ovarian cancer; Plastic attachment ring
卵巢癌是嚴重影响女性生命健康的恶性肿瘤之一，临床病死率高，居女性妇科恶性肿瘤的首位[1]。由于卵巢癌发现时大部分已处于晚期，手术已不能完全清除病灶，放疗效果也有限。针对卵巢癌盆腔种植和淋巴转移的特点，腹腔热灌注化疗(hyperthermic intraperitoneal chemotherapy，HIPEC)是目前治疗卵巢癌的一种重要手段[2]。HIPEC通过腹腔直接给药，大大增加化疗药物与卵巢癌接触的浓度和时间，最大限度地杀伤肿瘤细胞，减少因全身静脉化疗引起的毒性反应[3-6]。但在临床护理工作中经常会发现HIPEC治疗中灌注液容易从引流管周围渗出，影响治疗效果并造成并发症。本研究旨在探讨有效防止HIPEC治疗中渗漏发生的护理措施。
1 资料与方法
1.1 一般资料
选取本院妇科2017年1月至2018年12月接受HIPEC治疗的114例中晚期卵巢癌患者作为研究对象，按治疗的先后顺序分为三组，分别为可塑贴环固定法组(A组)40例、胶布固定法组(B组)38例、腹壁加压包扎法组(C组)36例，所有患者年龄22～69岁，平均(48.5±10.2)岁。入组患者均按国际妇产科协(FIGO)卵巢癌分期[4]，均无高血压或严重心血管系统疾病，心电图、血常规或肝肾功能检查无治疗禁忌证，骨髓造血功能正常。, http://www.100md.com(王晶 刘艳华 高军谊 杨博 陈建华)
【关键词】 渗液管理;HIPEC;卵巢癌;可塑贴环
To observe the management effect of exudate by three different nursing measures in the HIPEC treatment for patients with ovarian cancer
, 百拇医药
Wang Jing*， Liu Yanhua， Gao Junyi， Yang Bo， Chen Jianhua
Department of Gynecology， PLA General Hospital， Beijing 100853
[Abstract] Objective：To explore the management effect of three different nursing measures， which were used to administrate the exudate caused by peritoneal perfusion tube in the HIPEC treatment for patients with ovarian cancer . Methods： 114 patients with advanced ovarian cancer treated with HIPEC were randomly divided into three groups，who were hospitalized in the department of gynecology，PLA General Hospital from January 2017 to December 2018. Patients in these three groups were applied by plastic ring fixation， adhesive tape fixation and abdominal wall compression bandage，respectively. The incidence of peritoneal perfusion leakage， skin irritation or injury of abdominal wall and patients’ subjective feeling were observed. Results： Plastic ring fixation can reduce the loosening and exudation incidence of the peritoneal perfusion tube significantly， decreased the rate of skin damage and improve patients' subjective feeling effectively in the HIPEC treatment. Conclusion： Plastic ring fixation can reduce the incidence of peritoneal exudate and reduce the occurrence of adverse events in patients with ovarian cancer treated by HIPEC.
, 百拇医药
[Key words]Exudate management; Hyperthermic Intraperitoneal Chemotherapy(HIPEC); Ovarian cancer; Plastic attachment ring
卵巢癌是嚴重影响女性生命健康的恶性肿瘤之一，临床病死率高，居女性妇科恶性肿瘤的首位[1]。由于卵巢癌发现时大部分已处于晚期，手术已不能完全清除病灶，放疗效果也有限。针对卵巢癌盆腔种植和淋巴转移的特点，腹腔热灌注化疗(hyperthermic intraperitoneal chemotherapy，HIPEC)是目前治疗卵巢癌的一种重要手段[2]。HIPEC通过腹腔直接给药，大大增加化疗药物与卵巢癌接触的浓度和时间，最大限度地杀伤肿瘤细胞，减少因全身静脉化疗引起的毒性反应[3-6]。但在临床护理工作中经常会发现HIPEC治疗中灌注液容易从引流管周围渗出，影响治疗效果并造成并发症。本研究旨在探讨有效防止HIPEC治疗中渗漏发生的护理措施。
1 资料与方法
1.1 一般资料
选取本院妇科2017年1月至2018年12月接受HIPEC治疗的114例中晚期卵巢癌患者作为研究对象，按治疗的先后顺序分为三组，分别为可塑贴环固定法组(A组)40例、胶布固定法组(B组)38例、腹壁加压包扎法组(C组)36例，所有患者年龄22～69岁，平均(48.5±10.2)岁。入组患者均按国际妇产科协(FIGO)卵巢癌分期[4]，均无高血压或严重心血管系统疾病，心电图、血常规或肝肾功能检查无治疗禁忌证，骨髓造血功能正常。, http://www.100md.com(王晶 刘艳华 高军谊 杨博 陈建华)
参见：首页 > 医疗版 > 疾病专题 > 妇产科 > 女性生殖器官肿瘤及肿瘤样病变 > 卵巢癌