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目的探讨肝癌患者行经皮肝动脉插管化疗栓塞术(TACE)前后进食的可行性和必要性。方法将147例行TACE术的肝癌患者采取随机数字表法分为改进饮食组(试验组)及禁食组(对照组),试验组73例,对照组74例。试验组术前术后改进饮食方案;对照组患者介入术前一餐禁食禁水,术后继续禁食6h。记录两组术后当天和术后第1日的呕吐次数、呕吐量。结果两组术后当天呕吐次数及呕吐量比较,差异无统计学意义(P>0.05)。术后第1天试验组呕吐次数及呕吐量显著少于对照组,差异有统计学意义(P<0.05)。结论肝癌患者TACE术前术后适当进食可减轻胃肠道反应,有利于患者术后的快速恢复。
Objective To investigate the feasibility and necessity of feeding before and after transcatheter arterial chemoembolization (TACE) in patients with liver cancer. Methods Totally 147 patients with hepatocellular carcinoma treated with TACE were divided into modified diet group (experimental group) and fasting group (control group) by random number table. There were 73 cases in trial group and 74 cases in control group. The experimental group before and after surgery to improve the diet program; control group of patients before a meal fasting water, postoperative fasting 6h. The number of vomiting and vomiting were recorded on the day after surgery and on the first day after operation. Results There was no significant difference in the number of vomiting and vomiting between the two groups on the day after operation (P> 0.05). On the first day after operation, the number of vomiting and vomiting in the experimental group was significantly less than that in the control group, with significant difference (P <0.05). Conclusion TCC preoperative and postoperative liver cancer patients can reduce gastrointestinal reactions, is conducive to the rapid recovery of patients.