膀胱肿瘤术后THP膀胱灌注预防术后复发的护理

目的 分析膀胱肿瘤术后THP膀胱灌注预防术后复发的护理方法和措施.方法 选取2012年11月至2014年11月本院收治的接受膀胱肿瘤术后THP膀胱灌注预防术后复发的患者47例为实验对象,对患者的临床资料进行回顾性分析,治疗期间加强对患者的护理,并密切随访3年.结果 本次实验研究的47例患者中随访第1、2、3年的无瘤生存率分别为89.4％、83.0％、78.7％;患者膀胱灌注在第1周、2周和8周不良反应的发生率分别为29.8％、10.6％、2.1％.结论 THP膀胱灌注可以有效地预防膀胱肿瘤术后的复发情况,同时,全面、细致和具有针对性的护理服务可以更好地观察患者的病情,注意患者的毒副作用和不良反应,加强护理服务是膀胱肿瘤术后THP膀胱灌注预防术后复发的重要环节,值得引起高度的重视.

The nursing of THP bladder instillation for the prevention of postoperative recurrence of bladder cancer

Objectives To analyze the nursing methods and measures of THP bladder instillation for the prevention of postoperative recurrence of bladder cancer.Methods 47 cases of patients treated with THP bladder instillation after surgeries from November 2012 to November 2014 were included to perform the retrospective analysis.The nursing during the treatment was intensified.The period time of follow-up was 3 years.Results Tumor free survival rates after 1,2 and 3 years of follow-up was 89.4％,83.0％ and 78.7％ respectively.The occurrence rates of adverse effects after 1,2 and 8 weeks of bladder instillation was 29.8％,10.6％ and 2.1％ respectively.Conclusions The instillation of THP can efficiently prevent the recurrence of bladder caner.In the meantime,comprehensive and careful nursing can better observe the patient's condition,the toxic effects and side effects.The extensive nursing plays an important role in the prevention of bladder cancer treated with instillation of THP,which should be paid more attention.