排序方式: 共有50条查询结果,搜索用时 15 毫秒
11.
目的 了解内镜下十二指肠乳头切开术(EST)患者术前的焦虑状况及心理干预对其焦虑状况的影响效果.方法 将44例行EST的患者随机分为对照组和实验组,术前2组常规治疗和护理相同,实验组在此基础上进行心理干预,应用Zung的焦虑自评量表(SAS)在术前6~24 h及术后24~48 h由责任护士对患者进行问卷调查.结果 44例调查对象,77%的患者术前存在不同程度的焦虑症状,实验组患者心理干预后焦虑发生率和焦虑症状得分明显低于对照组(P<0.05).结论 行EST患者术前存在焦虑心理,术前对患者进行心理干预可以改善患者的心理状态. 相似文献
12.
内镜下十二指肠乳头切开术患者焦虑状况及影响因素的研究 总被引:1,自引:0,他引:1
内镜下十二指肠乳头切开术(EST)是在十二指肠内镜逆行胰胆管造影(ERCP)和高频电息肉切除的基础上发展而来的一项安全有效的诊疗技术,具有创伤小、恢复快、疗效确切等优点[1],但因患者缺乏对该技术的了解,且是在清醒状态下经口腔置入十二指肠内镜,术前会产生过度的应激反应,出现不同程度的焦虑、紧张、恐惧等负性心理状态,另外,患者对检查治疗可能带来并发症的担心等都会加重其焦虑情绪. 相似文献
13.
14.
15.
Objective To evaluate the role of ICGR15 in assessment of hepatic functional reserve before hepateetomy for hepatocellular carcinoma.Methods From August 2005 to October 2007, six-ty-six patients with hepatocellular carcinoma were treated in our hospital.The patients were random-ized into Child-Pugh grading group (32 cases) and ICGR15 detection group (34 cases).Preoperative preparation,operative procedures and postoperative management were the same in all the 66 patients.The morbidity and mortality were compared and the relationship between Child-Pugh grading and ICGR15 in assessment of hepatic functional reserve was determined.Results The incidence of hepatic failure after hepatectomy in ICGR15 detection group(23.50%) was significanly lower than that in Child-Pugh grading group(34.4%).ICGR15 (14.38 ±8.2)% in patients with tumor of Child-Pugh grading B was higher than ICGR15 (7.84 ± 4.8)% in those with tumor of Child-Pugh grading A.Conclusion ICGR15 valuecan be more sensitive in evaluating hepatic functional reserve than Child-Pugh grading, but some correlation can be observed between them.ICGR15 is useful in assessing the range of liver resection and prognosis before hepatectomy for hepatocellular carcinoma. 相似文献
16.
目的 探讨快速肝储备功能检测系统(DDG)中ICGR15在肝癌切除术前评估肝储备功能的作用.方法 从2005年8月至2007年10月收治66例肝癌切除病人,随机将病人分为ChildPugh评分组和ICGR15组,比较两组术后肝功能不全发生率的变化和分析Child-Pugh评分与ICGR15的关系.结果 Child-Pugh评分组术后出现腹水11例,黄疸8例,肝性脑病5例,死亡2例,肝功能不全发生率为34.4%;ICGR15组术后出现腹水8例,黄疽4例,肝性脑病2例,死亡0例,肝功能不全发生率为23.5%;两组肝功能不全发生率相比有显著性差异(P<0.05);ICGR15组Child-PughB级病人ICGR15均值为(14.38±8.2)%,显著高于Chitd-Pugh A级病人(7.84±4.8)%(P<0.01).结论 Child-Pugh评分与ICGR15值有密切关系,但ICGR15较Child-Pugh评分能更准确,灵敏地评估肝脏储备功能,对决定肝癌切除范围和手术预后的评估有指导作用. 相似文献
17.
Objective To evaluate the role of ICGR15 in assessment of hepatic functional reserve before hepateetomy for hepatocellular carcinoma.Methods From August 2005 to October 2007, six-ty-six patients with hepatocellular carcinoma were treated in our hospital.The patients were random-ized into Child-Pugh grading group (32 cases) and ICGR15 detection group (34 cases).Preoperative preparation,operative procedures and postoperative management were the same in all the 66 patients.The morbidity and mortality were compared and the relationship between Child-Pugh grading and ICGR15 in assessment of hepatic functional reserve was determined.Results The incidence of hepatic failure after hepatectomy in ICGR15 detection group(23.50%) was significanly lower than that in Child-Pugh grading group(34.4%).ICGR15 (14.38 ±8.2)% in patients with tumor of Child-Pugh grading B was higher than ICGR15 (7.84 ± 4.8)% in those with tumor of Child-Pugh grading A.Conclusion ICGR15 valuecan be more sensitive in evaluating hepatic functional reserve than Child-Pugh grading, but some correlation can be observed between them.ICGR15 is useful in assessing the range of liver resection and prognosis before hepatectomy for hepatocellular carcinoma. 相似文献
18.
Objective To evaluate the role of ICGR15 in assessment of hepatic functional reserve before hepateetomy for hepatocellular carcinoma.Methods From August 2005 to October 2007, six-ty-six patients with hepatocellular carcinoma were treated in our hospital.The patients were random-ized into Child-Pugh grading group (32 cases) and ICGR15 detection group (34 cases).Preoperative preparation,operative procedures and postoperative management were the same in all the 66 patients.The morbidity and mortality were compared and the relationship between Child-Pugh grading and ICGR15 in assessment of hepatic functional reserve was determined.Results The incidence of hepatic failure after hepatectomy in ICGR15 detection group(23.50%) was significanly lower than that in Child-Pugh grading group(34.4%).ICGR15 (14.38 ±8.2)% in patients with tumor of Child-Pugh grading B was higher than ICGR15 (7.84 ± 4.8)% in those with tumor of Child-Pugh grading A.Conclusion ICGR15 valuecan be more sensitive in evaluating hepatic functional reserve than Child-Pugh grading, but some correlation can be observed between them.ICGR15 is useful in assessing the range of liver resection and prognosis before hepatectomy for hepatocellular carcinoma. 相似文献
19.
20.
由于大部分因肝硬化行肝移植手术的患者,都患有各型不同程度的病毒性肝炎,其血液、分泌物、排泄物等具有极强的传染性.在手术的配合过程中,手术室的医务人员与患者密切接触,职业暴露问题逐渐显露出来.针对这一问题,采取一系列防范措施,达到既能全面地为患者服务,又有保护好医务人员身体健康的目的. 相似文献