摘要
目的分析生化指标对恶性梗阻性黄疸患者临床症状的关系,为临床护理人员依据生化指标采取应对措施提供参考。方法对178例恶性梗阻性黄疸患者采用欧洲癌症研究与治疗组织系列核心量表(EORTC QLQ-C30)中的症状条目和恶性梗阻性黄疸患者特异性条目池(QLQ-MOJ11)于患者入院后进行临床症状测评。结果高胆红素、前白蛋白<170mg/L、CA19-9>200U/mL患者在疲倦、食欲丧失、气促、腹泻、黄疸、消化、瘙痒、消瘦、发热症状领域表现突出。结论胆红素、前白蛋白及CA19-9为影响恶性梗阻性黄疸患者临床症状的主要生化指标,临床护理人员应有针对性地为患者提供护理措施。
Objective To analyze the relationship between biochemical indicators and clinical symptoms of malignant obstructive jaundice patients,and to provide references for clinical nurses to take corresponding measures.Methods Totally,178 patients who were diagnosed with malignant obstructive jaundice were assessed with EORTC QLQ-C30 and QLQ-MOJ 11 at admission.ResultsPatients with high bilirubin,those with prealbumin200 U/mL presented obvious symptoms of fatigue,loss of appetite,shortness of breath,diarrhea,jaundice,digestion disorders,itching,weight loss,and fever.ConclusionBilirubin,prealbumin,and CA19-9 are main biochemical indicators of malignant obstructive jaundice patients presenting clinical symptoms.Clinical nursing staff should provide corresponding measures.
关键词
恶性梗阻性黄疸
临床症状
生命质量
生化指标
护理
malignant obstructive jaundice
clinical symptoms
quality of life
biochemical indicators
nursing
