中医综合护理对鼻咽癌放疗患者口腔黏膜炎的防治效果
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R739.62

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Effect of Chinese Comprehensive Nursing on Oral Mucositis in Patients Undergoing Radiotherapy for Nasopharyngeal Carcinoma
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    摘要:

    目的:观察中医综合护理措施对鼻咽癌放疗患者口腔黏膜炎的防治效果。方法:将140例鼻咽癌(NPC) 放疗患者根据不同干预措施分为观察组78例和对照组62例。2组均进行根治性放射治疗,对照组给予维生素C泡腾片口服,西吡氯铵含漱液和复方氯己定含漱液交替含漱,疼痛难以咽下食物采用盐酸利多卡因注射液餐前含漱再进食。观察组采用中医综合护理措施,包括情志护理、饮食护理和康复新液含漱。检查2组口腔黏膜炎情况,采用数字评分法(NRS) 评价疼痛程度,卡氏功能状态量表(KPS) 评价健康状况。结果:经秩和检验,观察组患者的口腔黏膜炎程度轻于对照组(Z=1.931,P<0.05),观察组患者急性放射性唾液腺损伤程度轻于对照组(Z=1.994,P<0.05)。观察组患者出现1、2和3级口腔黏膜炎时间均晚于对照组,且同期的疼痛程度评分也低于对照组,差异均有统计学意义(P<0.05)。观察组患者NRS≥4分时间少于对照组,平均NRS和最高NRS评分均低于对照组,差异均有统计学意义(P<0.05)。治疗后,2组KPS评分均较治疗前降低(P<0.05),但观察组KPS评分高于对照组(P<0.05)。结论:中医综合护理措施能有效减轻NPC放疗导致的口腔黏膜和唾液腺的损伤程度,减轻疼痛,推迟口腔黏膜炎的出现,并维持患者的生活质量,值得临床应用。

    Abstract:

    Abstract:Objective:To observe the preventive effect of Chinese comprehensive nursing on oral mucositis in patients undergoing radiotherapy for nasopharyngeal carcinoma. Methods:According to different interventions,a total of 140 patients undergoing radiotherapy for nasopharyngeal carcinoma(NPC) were divided into the observation group and the control group,78 and 62 cases in each group respectively. The two groups were given radical radiotherapy. The control group was additionally given oral administration of vitamin C efferent tablets, sipironium chloride gargle and compound chlorhexidine gargle;and when patients in the control group difficultly swallowed food due to pain,then lidocaine hydrochloride injection was used for gargle before eating. The observation group additionally adopted Chinese comprehensive nursing measures,including emotional nursing,diet nursing and gargle of Kangfu Xinye. The oral mucositis was examined in the two groups;pain degree was evaluated by Numerical Rating Scale(NRS), and the health status by Karnofsky Performance Status(KPS).Results:The degree of oral mucositis in the observation group was less than that in the control group(Z=1.931,P<0.05),and the degree of acute radioactive salivary gland injury in the observation group was less than that in the control group (Z=1.994,P<0.05). Oral mucositis at Grade 1,2 and 3 in the observation group occurred later than that in the control group respectively,and the pain score of the same period was lower than that in the control group,differences being significant(P<0.05). Patients in the observation group had less pain time at NRS≥4 than those in the control group,and both the mean NRS and the highest NRS score were lower than those in the control group, differences being significant(P<0.05). After treatment,KPS scores in both groups were decreased when compared with those before treatment(P<0.05),but KPS score in the observation group was higher than that in the control group(P<0.05). Conclusion:Chinese comprehensive nursing can effectively reduce the damage degree of oral mucosa and salivary glands caused by radiotherapy for NPC, decrease the degree of pain,delay the occurrence of oral mucositis,and maintain the quality of life of patients,which is worthy of clinical application.

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吴元峰,房海波.中医综合护理对鼻咽癌放疗患者口腔黏膜炎的防治效果[J].新中医,2020,52(11):147-150

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  • 在线发布日期: 2020-06-04
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