江燕焱　邱靈娜

[摘要] 目的 觀察和分析超聲引導(dǎo)經(jīng)皮穿刺微波消融治療甲狀腺腫瘤的臨床護(hù)理實(shí)施效果。 方法 根據(jù)該院2017年1月—2018年9月治療期間所采取的護(hù)理方案的差異將方便選取的68例行RFA治療的甲狀腺腫瘤患者分為觀察組和對(duì)照組，各34例，在對(duì)患者的手術(shù)指標(biāo)進(jìn)行明確后，為患者安排手術(shù)，并采取相關(guān)的護(hù)理措施，其中對(duì)照組進(jìn)行常規(guī)護(hù)理，觀察組進(jìn)行綜合護(hù)理干預(yù)，主要觀察患者在院治療過(guò)程的護(hù)理滿意度與并發(fā)癥發(fā)生情況。 結(jié)果 觀察組的并發(fā)癥總發(fā)生率5.88%，明顯低于對(duì)照組26.47%，差異有統(tǒng)計(jì)學(xué)意義（χ2=16.57，P<0.05）;觀察組的護(hù)理滿意度97.06%，明顯高于對(duì)照組79.41%，差異有統(tǒng)計(jì)學(xué)意義（χ2=19.75，P<0.05）。 結(jié)論 甲狀腺腫瘤患者行超聲引導(dǎo)經(jīng)皮穿刺微波消融術(shù)治療時(shí)，采取綜合護(hù)理措施，能有效減少并發(fā)癥的發(fā)生，提高患者的護(hù)理滿意度，值得臨床應(yīng)用和推廣。

[關(guān)鍵詞] 超聲引導(dǎo)經(jīng)皮穿刺微波消融術(shù);甲狀腺腫瘤;臨床護(hù)理

[中圖分類號(hào)] R749? ? ? ? ? [文獻(xiàn)標(biāo)識(shí)碼] A? ? ? ? ? [文章編號(hào)] 1674-0742（2019）05（c）-0147-03

[Abstract] Objective To observe and analyze the clinical nursing effect of ultrasound-guided percutaneous microwave ablation for thyroid tumors. Methods According to the difference of nursing programs taken during the treatment period from January 2017 to September 2018 in our hospital， convenient select 68 patients with thyroid tumors treated with RFA were divided into observation group and control group， 34 cases each， in the surgical index of patients. After the clarification， the patients were arranged for surgery and relevant nursing measures were taken. The control group was given routine nursing care， and the observation group was given comprehensive nursing intervention. The nursing satisfaction and complications of the patients in the hospital treatment process were mainly observed. Results The total incidence of complications in the observation group was 5.88%， which was significantly lower than that in the control group （26.47%）. The difference was statistically significant （χ2=16.57，P<0.05）. The nursing satisfaction of the observation group was 97.06%， which was significantly higher than that of the control group 79.41%， the difference was statistically significant （χ2=19.75，P<0.05）. Conclusion When patients with thyroid tumor undergo ultrasound-guided percutaneous microwave ablation， comprehensive nursing measures can effectively reduce the occurrence of complications and improve the satisfaction of patients. It is worthy of clinical application and promotion.

[Key words] Ultrasound-guided percutaneous puncture microwave ablation; Thyroid neoplasms; Clinical care

近年來(lái)，臨床上腫瘤患者越來(lái)越多，而手術(shù)是腫瘤治療中最常用且較為有效的治療方法，傳統(tǒng)的手術(shù)治療方式是一種開(kāi)放式的治療，雖然治療效果比較明顯，但是其創(chuàng)傷也較大，術(shù)后手術(shù)創(chuàng)口的恢復(fù)也比較慢。微創(chuàng)手術(shù)治療近年來(lái)得到了很大的發(fā)展，其中超聲引導(dǎo)經(jīng)皮穿刺微波消融治療術(shù)（RFA）在腫瘤治療中的應(yīng)用也越來(lái)越廣泛[1]。由于RFA在腫瘤治療中能夠準(zhǔn)確的定位病灶位置，且能夠?qū)⒛[瘤進(jìn)行原位滅活，再加上該治療措施具有創(chuàng)傷和損傷小、手術(shù)操作時(shí)間短、術(shù)后留下的瘢痕較小等優(yōu)勢(shì)，使得其在臨床上的應(yīng)用更能讓患者與醫(yī)護(hù)人員接受。該研究對(duì)該院2017年1月—2018年9月接收并行RFA治療的甲狀腺腫瘤患者68例治療中的臨床護(hù)理進(jìn)行分析，探討良好的護(hù)理方式對(duì)該項(xiàng)手術(shù)治療的影響。