中医综合防治措施对头颈部肿瘤放射治疗患者生活质量的影响
DOI:
作者:
作者单位:

作者简介:

通讯作者:

中图分类号:

R739.91

基金项目:


Effect of Integrated Prevention and Treatment in Chinese Medicine on Quality of Life in Patients Undergoing Radiotherapy for Head and Neck Cancer
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    目的:观察中医综合防治措施对头颈部肿瘤放射治疗患者生活质量的影响。方法:将80 例患者随机分为观察组和对照组各40 例。对照组视情况给予含漱液对症治疗,并予相应的饮食护理、心理护理和健康宣教。观察组采用银莲含漱液含漱,予饮食护理和情志护理。2 组防治措施均与放射治疗同期开展,直到放射治疗结束(约8 周左右)。放射治疗结束后统计2 组患者的口腔黏膜炎程度、疼痛程度[视觉模拟评分法(VAS)] 和放射性吞咽困难程度,治疗前、放射治疗结束时评定中国癌症患者生活质量测定量表(QLQ) 和症状自评量表(SCL-90) 评分。结果:放射治疗期间,观察组口腔黏膜炎程度、放射性吞咽困难程度均轻于对照组(P<0.05)。观察组VAS 评分≥4 分的天数少于对照组(P<0.01),平均VAS 评分和最高VAS 评分均低于对照组(P<0.01)。2 组QLQ 评分和SCL-90 评分均较治疗前下降(P<0.01)。观察组QLQ 评分高于对照组(P<0.01),SCL-90评分低于对照组(P<0.01)。结论:将中医综合防治措施同步用于头颈部肿瘤放射治疗患者,可减轻口腔黏膜炎程度、疼痛程度和吞咽困难程度,改善患者的心理状况,从而起到维持或改善患者生活质量的作用。

    Abstract:

    Abstract:Objective:To observe the effect of integrated prevention and treatment in Chinese medicine on quality of life in patients undergoing radiotherapy for head and neck cancer. Methods:A total of 80 patients were randomly divided into the observation group and the control group, 40 cases in each group. The control group was given symptomatic treatment of rinse containing according to their condition, and was given corresponding diet nursing, psychological nursing and health education. The observation group rinsed with Yinlian gargle, and received diet nursing and emotional nursing. In the two groups, the prevention and treatment measures were carried out at the same time with radiotherapy until the end of radiotherapy(about eight weeks). At the end of radiotherapy, the degree of oral stomatitis, the scores of Visual Analogue Scale(VAS) for evaluating the degree of pain,and the degree of radiation-induced dysphagia were counted in the two groups. Before treatment and at the end of radiotherapy respectively,the scores of quality of life questionnaire for Chinese cancer patients(QLQ) and the Symptom Checklist- 90(SCL- 90) were evaluated. Results: During radiotherapy, the degree of oral stomatitis and the degree of radiation-induced dysphagia in the observation group were less than those in the control group (P<0.05). The days of the scores of VAS less than or equal to 4 in the observation group were less than those in the control group(P<0.01),the average and the highest scores of VAS in the observation group were both lower than those in the control group(P<0.01). The scores of QOC and SCL- 90 in the two groups were decreased when compared with those before treatment(P<0.01). The score of QOC in the observation group was higher than that in the control group(P<0.01),and the score of SCL- 90 was lower(P<0.01). Conclusion: The concurrent application of integrated prevention and treatment in Chinese medicine to the patient undergoing radiotherapy for head and neck cancer, can decrease the degree of oral stomatitis,pain,and dysphagia,and improve their psychological status,thus it can maintain or improve their quality of life.

    参考文献
    相似文献
    引证文献
引用本文

邵剑琴,沈红芳,余萍.中医综合防治措施对头颈部肿瘤放射治疗患者生活质量的影响[J].新中医,2020,52(14):157-160

复制
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:
  • 最后修改日期:
  • 录用日期:
  • 在线发布日期: 2020-07-20
  • 出版日期: