| 鼻咽癌患者放射治疗前局部冰敷减轻口腔黏膜反应的效果 |
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| 引用本文： | 龚光明,倪杰.鼻咽癌患者放射治疗前局部冰敷减轻口腔黏膜反应的效果[J].中华护理杂志,2011,46(8). |
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| 作者姓名： | 龚光明 倪杰 |
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| 作者单位： | 1. 226361,江苏省南通市肿瘤医院感染管理科
2. 226361,江苏省南通市肿瘤医院放疗科 |
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| 摘 要： | 目的探讨鼻咽癌放射治疗前局部冰敷对口腔黏膜反应的影响。方法 将80例首程放射治疗鼻咽癌患者随机分为试验组和对照组,每组40例。试验组在放疗前将冰袋置于照射野皮肤30min,然后立即进行放射治疗。对照组行常规护理,不进行冰敷。口腔出现黏膜溃疡时,首先用无菌棉签擦干口腔溃疡处,再喷涂重组人表皮生长因子(rhEGF),每天2次。放射治疗第7周,对患者口咽部采样进行微生物学监测。结果放射治疗第3周末、第7周末、结束后1周,试验组口腔黏膜炎明显轻于对照组。咽拭子细菌培养阳性率试验组(17.5%)低于对照组(37.5%)。结论放射治疗前局部冰敷可有效预防与减轻鼻咽癌放射治疗所致口腔黏膜反应,减少口腔真菌感染。
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| 关 键 词： | 鼻咽肿瘤 放射疗法 口腔黏膜炎 冷敷 重组人表皮生长因子 |
Effect of ice compress before radiotherapy on the symptoms of oral mucositis in patients with nasoplaryngeal cancer |
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| GONG Guang-ming,NI Jie.Effect of ice compress before radiotherapy on the symptoms of oral mucositis in patients with nasoplaryngeal cancer[J].Chinese Journal of Nursing,2011,46(8). |
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| Authors: | GONG Guang-ming NI Jie |
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| Institution: | GONG Guang-ming,NI Jie |
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| Abstract: | Objective To evaluate the effect of ice compress before radiotherapy on the symptoms of oral mucositis in patients with nasoplaryngeal cancer.Methods Eighty nasoplaryngeal cancer patients receiving first radiotherapy were randomly divided into two groups.The patients in the control group received routine treatment and nursing care.In addition,the patients in the experimental group received ice compress on the irradiation field skin 30 minutes before radiotherapy.When the oral mucositis occurred,firstly we d... |
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| Keywords: | Nasopharyngeal Neoplasms Radiotherapy Oral Mucositis Cold compress rhEGF |
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