摘要
目的 本文主要针对离体肝切除联合自体肝移植术后并发感染性休克病人的护理进行研究讨论。方法 以2021年1月-2023年1月为研究时间，并择取期间在我院行离体肝切除联合自体肝移植术后并发感染性休克病人100例作为研究对象，根据护理方法不同将患者分两组，研究组采用全面护理（50例）、参照组采用常规护理（50例），观察两组护理效果，并利用统计学进行对比。结果 统计两组临床治护综合有效率，研究组48（96.00%）、参照组40（80.00%）；休克症状改善时间、ICU停留时间，研究组分别为（6.31±1.25）h、（3.21±1.13）d，参照组分别为（11.01±1.63）h、（5.49±1.33）d；统计患者家属满意度，研究组49（98.00%）、参照组40（80.00%）；两组数据对比差异明显（P＜0.05），并以研究组数据存在优势性。结论 针对离体肝切除联合自体肝移植术后并发感染性休克病人采取针对性的有效护理，患者临床症状得到显著改善，同时缩短休克症状以及ICU停留时间，降低患者危险发生率，提高生存率，同时临床效果获得患者家属满意，建议临床中广泛使用。
关键词： 离体肝切除；自体肝移植；感染性休克；护理
Abstract
Objective To study and discuss the nursing of patients with septic shock after isolated hepatectomy combined with autologous liver transplantation. Methods From January 2021 to January 2023, 100 patients with septic shock after isolated hepatectomy combined with autologous liver transplantation in our hospital were selected as the study objects. According to different nursing methods, the patients were divided into two groups, the study group received comprehensive nursing (50 cases) and the reference group received routine nursing (50 cases). The nursing effect of the two groups was observed and compared by statistics. Results The comprehensive effective rate of clinical treatment and nursing was 48 (96.00%) in the study group and 40 (80.00%) in the reference group. The improvement time of shock symptom and ICU stay were (6.31±1.25) h and (3.21±1.13) d in the study group, and (11.01±1.63) h and (5.49±1.33) d in the control group, respectively. The satisfaction degree of the patients' family members was calculated, 49 (98.00%) in the study group and 40 (80.00%) in the reference group. The data of the two groups were significantly different (P < 0.05), and the data of the study group was dominant. Conclusion Targeted and effective nursing care for patients with septic shock after isolated hepatectomy combined with autologous liver transplantation can significantly improve the clinical symptoms of patients, shorten the shock symptoms and ICU stay time, reduce the risk rate of patients, improve the survival rate, and the clinical effect is satisfactory to the families of patients. It is recommended to be widely used in clinical practice.
Key words： In vitro liver resection; Autologous liver transplantation; Infectious shock; Nursing
参考文献 References
[1] 彭玉娇,刘惠蓉,王月月,等. 1例离体肝切除联合自体肝移植术后并发感染性休克病人的护理[J]. 全科护理,2019,17(24):3083-3084.
[2] 施雯. 1 例离体肝肿瘤切除联合自体肝移植治疗原发性肝癌的手术护理配合[J]. 全科护理,2020,18(9):1150-1152.
[3] 罗雪娥,张苗苗,刘怡素,等. 离体肝切除联合自体肝移植术治疗肝恶性横纹肌样瘤患儿围手术期的护理1例[J]. 护理实践与研究,2022,19(21):3312-3316.
[4] 肖丽杰,张旭. 小儿肝移植术后无创呼吸机辅助呼吸的护理[J]. 实用器官移植电子杂志,2019,7(2):131-133.
[5] 卓金风,吕海金,易慧敏,等. 肝移植术后加速康复护理的标准化操作流程[J]. 器官移植,2020,11(1):121-125.
[6] 郑彩霞,冯志仙. 肝移植围手术期护理质量指标研究进展[J]. 护理与康复,2019,18(2):40-42.
[7] 余健,杨文静,石娟娟,等. 信息情感支持对难治性肾病患儿主要照顾者负性情绪及坚韧性的影响[J]. 河北医药,2020,42(14):2223-2226.
[8] 王兆北,陈玲,李红,等. 肝移植患者术后早期活动管理的证据总结[J]. 护理学报,2020,27(21):46-50.
[9] 张明媛,牛俊奇. 东方国家原发性肝癌发病趋势及影响因素[J]. 临床肝胆病杂志,2018,34(7):1399-1402.
[10] 顾敏,顾轶. 集束化循证护理策略对改善ICU感染性休克患者预后效果分析[J]. 临床护理杂志,2023,22(3):57-60.