膀胱癌术后膀胱内灌注化疗药物的护理体会

目的探讨膀胱癌术后膀胱内灌注化疗药物的护理。方法回顾我院36例膀胱癌术后病人，于术后第2周开始行膀胱内灌注吡柔比星化疗药物，与患者进行详细的心理沟通与疏导，详细讲解灌注治疗在预防肿瘤复发中的重要性。结果36例患者心态良好，坚持治疗，其中2例患者出现膀胱刺激征、发热、尿道狭窄、骨髓抑制。结论膀胱内灌注式化疗，方法简单、方便、全身毒副作用小，生存率高，局部复发率低，在护理工作中，需密切观察化疗反应。

Nursing in Intravesical Chemotherapy Bladder Cancer Patients of Postoperative

Objective To investigate the nursing of intravesical chemotherapy after operation of bladder cancer. Methods Retrospective 36 postoperative patients in our hospital,who beginning intravesical chemotherapy of Piratubicin （THP） after 2 weeks of operation. Psychological communication and explain the importance of preventing recurrence of superficial bladder of following operation. Results The 36 patients have a good state of mind and adherence to treatment. 2 of them have irritation symptoms of bladder, fever, urethral strietue, marrow depression. Conclusion Intravesical chemotherapy is a convenience ,safely ,less toxic and side -effect,higher survival rate,less local recurrence. In nursing services,we should close observe the side effect.