中国实用医药
中國實用醫藥
중국실용의약
CHINA PRACTICAL MEDICAL
2009年
17期
183-184
,共2页
肺癌%放射性肺炎%护理
肺癌%放射性肺炎%護理
폐암%방사성폐염%호리
Lung cancer%Radiation pneumonitis%Nursing care
目的 探讨肺癌放疗后发生放射性肺炎患者护理对策.方法 对50例放射性肺炎患者实施放疗50～60 Gy,用单因素和多因素分析两肺V5、V10、V15、V20、V25、V30、V35、V40及Dmean和放射性肺炎相关.做好患者心理护理、呼吸道护理、发热护理、用药护理等.结果 单因素分析显示吸烟及化疗和放射性肺炎相关,P值分别为0.013和0.009,多因素分析仅显示V5和放射性肺炎相关.经整体护理有效地减轻了患者症状,80%患者顺利地完成了放疗计划.结论 加强病情观察,精心的护理可以有效控制放射性肺炎,使患者顺利完成放射治疗计划.
目的 探討肺癌放療後髮生放射性肺炎患者護理對策.方法 對50例放射性肺炎患者實施放療50～60 Gy,用單因素和多因素分析兩肺V5、V10、V15、V20、V25、V30、V35、V40及Dmean和放射性肺炎相關.做好患者心理護理、呼吸道護理、髮熱護理、用藥護理等.結果 單因素分析顯示吸煙及化療和放射性肺炎相關,P值分彆為0.013和0.009,多因素分析僅顯示V5和放射性肺炎相關.經整體護理有效地減輕瞭患者癥狀,80%患者順利地完成瞭放療計劃.結論 加彊病情觀察,精心的護理可以有效控製放射性肺炎,使患者順利完成放射治療計劃.
목적 탐토폐암방료후발생방사성폐염환자호리대책.방법 대50례방사성폐염환자실시방료50～60 Gy,용단인소화다인소분석량폐V5、V10、V15、V20、V25、V30、V35、V40급Dmean화방사성폐염상관.주호환자심리호리、호흡도호리、발열호리、용약호리등.결과 단인소분석현시흡연급화료화방사성폐염상관,P치분별위0.013화0.009,다인소분석부현시V5화방사성폐염상관.경정체호리유효지감경료환자증상,80%환자순리지완성료방료계화.결론 가강병정관찰,정심적호리가이유효공제방사성폐염,사환자순리완성방사치료계화.
Objective In order to improve nursing strategy for patients with lung cancer who underwent radiotherapy,risk factors for radiation pneumonitis were investigated.Methods 50 patients with radiation pneumonitis were studied,the relationship betweent V5,V10,V15,V20,V25,V30,V35,V40,Dmean and radiation pneumonitis were investigated using univariate and multivariate analysis.Results Smoking and chemotherapy were associated with radiation pneumonitis by univariate analysis,dose-volume metrics V5,was significantly associated with radiation pneumonitis.Conclusion Close observation and nursing care is helpful in the treatment of radiation pneumonitis and completion of radiotherapy.
