鼻咽癌放疗口腔粘膜反应的护理干预

目的:探讨鼻咽癌患者放疗前后的综合护理措施及效果,以减轻患者的口腔粘膜反应。方法:将经过病理学检查确诊为鼻咽癌并接受放疗的初治患者238例,随机分为研究组和对照组各119例。研究组在放疗前、中、后采用拟定的综合护理措施;对照组采用3%碳酸氢钠水溶液含漱。两组患者均按照常规方法放疗,分别于放疗前、放疗第3周、放疗第7周和放疗结束后2周观察口腔粘膜反应。结果:两组患者放疗前口腔情况无显著性差异(P>0.05)。放疗第3周、放疗第7周和放疗结束后2周口腔粘膜反应有显著性差异(P<0.05)。结论:对鼻咽癌患者放疗前后采用综合护理措施,可以减轻或延缓患者的口腔粘膜反应,从而达到减少患者因口腔粘膜反应所带来的痛苦。

Nursing care of oral mucosa reaction caused by radiotherapy in patients with nasopharyngeal carcinoma

Objective: To evaluate the effect of integrated nursing interventions in patients with nasopharyngeal carcinoma(NPC) before and after radiotherapy in order to release radiation-induced oral mucosa reaction.Methods: 238 cases of NPC patients received radiotherapy first time were divided randomly into two groups: nursing group(119 cases)and control group(119 cases).Patients in nursing group were given integrated nursing during radiotherapy.Patients in control group rinsed with 3% liquor of bispyribac-sodium residues.Both groups received routine radiotherapy.Before radiotherapy,at the 3 week and 7 week during radiotherapy,after radiotherapy,oral mucosa reactions were observed.Results:There was no significant difference between the two groups before radiotherapy(P>0.05),but there was significant difference between them during radiotherapy and after radiotherapy(P<0.05).Conclusion:Integrated nursing for NPC patients with radiotherapy can release their mucosa reaction.