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恩度联合放化疗治疗晚期非小细胞肺癌患者的护理
引用本文:陈楚云,周玉华,张庆宏,许鸿鹞. 恩度联合放化疗治疗晚期非小细胞肺癌患者的护理[J]. 中国实用护理杂志, 2011, 27(19). DOI: 10.3760/cma.j.issn.1672-7088.2011.19.028
作者姓名:陈楚云  周玉华  张庆宏  许鸿鹞
作者单位:广东省汕头市中心医院中山大学附属汕头医院放射治疗科,515031
摘    要:
目的 探讨肿瘤靶向治疗药物恩度联合放化疗治疗初诊晚期非小细胞肺癌的优势,寻找一种治疗晚期非小细胞肺癌有效的治疗组合模式,提高晚期肺癌患者的生存率及生存质量.方法 将2009年7月至2010年2月收住的18例初诊为晚期非小细胞肺癌患者随机分为实验组(含恩度)和对照组(不含恩度)各9例,采用诱导化疗并三维适形放疗,观察2组患者治疗的临床症状缓解率、疗效、不良反应,同时做好放化疗及靶向治疗的护理.结果 实验组及对照组的疗效分别为77.8%和66.7%,实验组的临床症状缓解率与对照组比较无显著差异,2组患者均有不同程度的不良反应,在护理人员的整体护理和系统健康教育下,均顺利完成治疗.结论 恩度联合放化疗治疗初诊晚期非小细胞肺癌,能提高疗效及生存率,改善生活质量,虽有一定的不良反应,但经对症处理及护理能缓解.
Abstract:
Objective To study in targeted therapy of cancer drug endostar combined with radiotherapy and chemotherapy in the treatment of newly diagnosed patients with advanced non-small cell lung cancer, and find an effective combined treatment mode of advanced non-small cell lung cancer, so as to improve the survival rate and quality of life of patients with advanced lung cancer. Methods 18 patients with newly diagnosed advanced non- small cell lung cancer admitted to our hospital from July 2009 to February 2010 were randomly divided into 2 groups and treated with induction chemotherapy and 3D-CRT,9 cases in the experimental group (including Endostar), 9 cases in the control group, All of the patients'clinical symptoms, efficacy and toxicity in the two groups were observed. At the same time, nursing of radiotherapy, chemotherapy and targeted therapy was given to paients. Results The efficacy of the experimental group and the control group were 77.8% and 66.7%, the clinical remission rates of the experimental group and the control group showed no significant difference, both of the patients in the two groups had varying degrees of toxicity, but all of the them completed the treatment well under the holistic nursing and systematical health education by nurses. Conclusions Endostar combined with induction chemotherapy and three-dimensional conformal radiotherapy (3D-CRT) in the treatment of advanced non-small cell lung cancer can improve the efficacy and survival rate, and the quality of life, although there are some side effects, but can be alleviated by symptomatic treatment and care.

关 键 词:恩度  靶向治疗联合放化疗  晚期非小细胞肺癌  护理

Endostar combined with radiotherapy and chemotherapy in the treatment of advanced non-small cell lung cancer: a clinical application and nursing care
CHEN Chu-yun,ZHOU Yu-hua,ZHANG Qing-hong,XU Hong-yao. Endostar combined with radiotherapy and chemotherapy in the treatment of advanced non-small cell lung cancer: a clinical application and nursing care[J]. Chinese Journal of Practical Nursing, 2011, 27(19). DOI: 10.3760/cma.j.issn.1672-7088.2011.19.028
Authors:CHEN Chu-yun  ZHOU Yu-hua  ZHANG Qing-hong  XU Hong-yao
Abstract:
Objective To study in targeted therapy of cancer drug endostar combined with radiotherapy and chemotherapy in the treatment of newly diagnosed patients with advanced non-small cell lung cancer, and find an effective combined treatment mode of advanced non-small cell lung cancer, so as to improve the survival rate and quality of life of patients with advanced lung cancer. Methods 18 patients with newly diagnosed advanced non- small cell lung cancer admitted to our hospital from July 2009 to February 2010 were randomly divided into 2 groups and treated with induction chemotherapy and 3D-CRT,9 cases in the experimental group (including Endostar), 9 cases in the control group, All of the patients'clinical symptoms, efficacy and toxicity in the two groups were observed. At the same time, nursing of radiotherapy, chemotherapy and targeted therapy was given to paients. Results The efficacy of the experimental group and the control group were 77.8% and 66.7%, the clinical remission rates of the experimental group and the control group showed no significant difference, both of the patients in the two groups had varying degrees of toxicity, but all of the them completed the treatment well under the holistic nursing and systematical health education by nurses. Conclusions Endostar combined with induction chemotherapy and three-dimensional conformal radiotherapy (3D-CRT) in the treatment of advanced non-small cell lung cancer can improve the efficacy and survival rate, and the quality of life, although there are some side effects, but can be alleviated by symptomatic treatment and care.
Keywords:Endostar  Targeted therapy combined with radiotherapy and chemotherapy  Advanced non-small cell lung cancer  Nursing
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