简介：摘要目的研究冷冻消融治疗肝癌术后循证护理对皮肤冻伤的预防与应用.方法选择２０１１年１月至２０１２年１２月在我中心开展冷冻消融手术的９２例肝癌患者作为对照组,选择２０１３年１月至２０１４年８月开展循证护理方法后的１０５例肝癌患者作为观察组,通过总结分析皮肤冻伤发生的相关因素,进行相应的护理干预.结果观察组术后并发症发生率仅为１％,低于对照组的６??５％.结论关注与探索皮肤冻伤的最佳防治策略,将所获得的循证支持结合护理人员本身的临床经验与患者的实际情况相结合,制定出适合个体需要的护理方案,降低冻伤发生率,提高临床疗效及患者的生活质量.关键词循证护理;肝癌;冷冻消融;皮肤冻伤;预防与护理ApplicationofEvidence－basedNursingintheSkinFrostbiteafterTreatmentofCryoablationofHepatocellularCarcinomaAbstractObjectiveTostudypreventionandapplicationofevidence－basednursingforskinfrostbiteafterthecyroablationofhepatocellularcarcinoma??MethodsFrom２０１１JanuarytoDecember２０１２,９２patientswithhepatocellularcarcinoma(HCC)werecollectedasthecontrolgroup??From２０１３Januaryto２０１４August,１０５patientswithHCCwithevidence－basednursingwerecollectedastheobservationgroup??Therelatedfactorsofskinfrostbitewereanalyzed??Thepatientsunderwentthecorrespondingnursinginterventionintheobservationgroup??ResultsThepostoperativeincidenceofcomplicationsintheobservationgroupwassignificantlylowerthanthatinthecontrolgroup(１％vs６??５％)??ConclusionTheevidence－basednursingreducesincidenceofcomplicationsandimprovestheclinicalefficacyandpatient＇squalityoflife,andanoptimalpreventionandtreatmentstrategyofskinfrostbiteshouldbefurtherexplored??