JOURNAL OF PRACTICAL HEPATOLOGY ›› 2016, Vol. 19 ›› Issue (6): 700-703.doi: 10.3969/j.issn.1672-5069.2016.06.015

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Rehabilitation of patients with primary liver cancer after transhepatic arterial chemoembolization

Cheng Guangrong,Guo Liping.   

  1. Department of Radiology,General Hospital of PLA,Beijing 100853
  • Received:2016-07-12 Online:2016-11-10 Published:2016-11-28

Abstract: Objective We explored the effect of nursing care and its impact on rehabilitation in patients with primary liver cancer (PLC) after transhepatic arterial chemoembolization (TACE) in order to provide guidance for improving the life quality of patients. Methods 50 patients with moderate and advanced PLC underwent TACE with hepatic artery perfusion of raltitrexed,and we carried out holistic nursing,including psychological,febrile,dietary,abdominal and local nursing post-operatively for them. We also measured blood liver function indexes and alpha-fetoprotein(AFP) before and after the treatment. Results Four weeks after TACE, serum alanine transaminase,aspartic transaminae,total bilirubin and albumin levels decreased from(43.58±10.15)U/L,(41.25±11.34)U/L,(22.46±6.49) μmol/L and (35.32±4.12) g/L at admission to (38.23±7.86) U/L,(38.56±8.49)U/L,(16.84±10.16) μmol/L and(31.49±5.48) g/L,post-operatively,all no significant difference(P>0.05);serum AFP decreased from(1215.46±125.14) ng/mL to(811.27±165.28) ng/mL(P<0.01);The white blood cell counts decreased in two (4%),fever in two (4%),psychological stress in three(6%),local pain in six(14%),and nausea/vomiting in eight(16%),suggesting the improvement by nursing care in this setting. Conclusions TACE with raltitrexed in treatment of patients with PLC is effective,and the postoperative nursing care might reduce the occurrence of complications,which greatly improve the postoperative rehabilitation of patients.

Key words: Hepatoma, Transhepatic arterial chemoembolization, Holistic nursing, Rehabilitation