鼻咽癌颈淋巴结转移灶放疗、热疗的观察及护理

目的：比较放疗配合热疗在治疗鼻咽癌颈淋巴结转移灶中的作用。方法：对我科收治的46例有颈部淋巴结转移癌〉14cm的鼻咽癌患者，随机分成两组，观察组26例，采用放疗＋热疗方法治疗；对照组20例，采用单纯放疗方法治疗。结果：放疗结束时，观察组、对照组颈部淋巴结全消率分别为61．5％、30．0％，经χ2检验，P〈0．05，有统计学意义。结论：对颈部较大淋巴结转移的鼻咽癌患者，放疗配合热疗有明显的互补和增效作用，做好热疗过程的护理，可减少热疗不良反应，增加治疗肿瘤的敏感性，以改变患者的生存质量，提高生存率。

Effect of radiotherapy combined with hyperthermia on cervical lymph node metastasis of nasopharyngeal carcinoma and nursing

Objective:To investigate the effects of radiotherapy combined with hyperthermia on cervical lymph node metastasis of nasopharyngeal carcinoma and the role of nursing.Methods:Forty-six patients with enlarged cervical lymph node(diameter ≥ 4 cm) due to metastasis of nasopharyngeal carcinoma undergoing treatment were randomly assigned into group A(n=26) and group B(n=20),patients in group A were treated with radiotherapy and hyperthermia,patients in group B were treated with radiotherapy,the patients were received good nursing,and the effects were studied and nursing care was summarized;χ2 test was used for the analysis of qualitative data,and P<0.05 was considered significant.Results:After therapy,the resolution of enlarged cervical lymph nodes in group A and B was 61.5% and 30% respectively,the difference between the two groups was significant(P<0.05).Conclusion:Hyperthermia has marked adjunctive effects on the radiotherapy of cervical lymph node metastasis of nasopharyngeal carcinoma and may enhance the general effect;delicate nursing may reduce adverse reactions of hyperthermia,increase sensitivity of carcinoma to radiotherapy,improve life quality,and enhance survival rate.