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目的探讨早期进食对肝癌介入栓塞术后降低并发症的临床疗效。方法将2010年至2012年收治的200例肝癌介入栓塞术后患者按随机数表法分为两组,对照组(100例)患者于术后6h开始正常进食,观察组(100例)患者于术后2h进食流质,6h后恢复正常饮食。比较两组患者术后排尿时间、排便时间、发生恶心呕吐消化道反应例数及口渴、腹胀、拒食等术后并发症发生率。结果观察组患者排尿时间、排便时间和并发症的发生率均低于对照组,观察组患者肝功能恢复优于对照组,主要是谷丙转氨酶和直接胆红素、间接胆红素低于对照组,血浆白蛋白高于对照组患者。满意度为88%,高于对照组,组间差异均有统计学意义(均P<0.05)。结论早期进食能有效降低肝癌介入栓塞术后并发症的发生率,值得推广应用。
Objective To investigate the clinical effect of early eating on the reduction of complications after liver cancer interventional embolization. Methods 200 patients admitted from 2010 to 2012 after liver cancer interventional embolization were randomly divided into two groups according to the random number table. The control group (100 patients) began to eat normally at 6h after operation. The patients in observation group (100 patients) 2h after eating liquid, returned to normal after 6h diet. The postoperative urination time, defecation time, incidence of nausea and vomiting digestive tract reaction and the incidence of postoperative complications such as thirst, bloating and antifeedant were compared between the two groups. Results The urination time, defecation time and complication rate in the observation group were lower than those in the control group. The liver function recovery in the observation group was better than that in the control group, mainly alanine aminotransferase and direct bilirubin, indirect bilirubin was lower than the control Group, plasma albumin higher than the control group patients. The satisfaction rate was 88%, higher than the control group, the differences between the groups were statistically significant (P <0.05). Conclusion Early eating can effectively reduce the incidence of complications after liver cancer interventional embolization, it is worth promoting the application.