CAJ | 학술논문

目的探讨选用个体化放射性核素32P敷贴及介入治疗皮肤血管瘤的疗效及其护理在治疗中的作用.方法选取2004年12月至2009年4月诊治的皮肤血管瘤患者734例,应用个体化治疗方案及护理措施:按1 Gy·cm-2·d-1制备敷贴器,介入治疗按6.8～10.0μCi/cm2决定投药量,根据血管瘤的生长部位、患者年龄决定投放32P放射剂量,治疗间隔1.5～2.0个月.护理措施:进行有效沟通,解除顾虑,建立治疗信心;应用数码相机在治疗前后对病变处拍照,并行计算机存档后制成单人合并图,客观评价治疗效果;发放健康教育处方,提供书面指导;电话回访,接受咨询,提供指导,了解疗效.结果 734例患者治愈率78.88%,总有效率94.14%,单纯性血管瘤治疗效果最好,年龄与治疗效果呈负相关.针对性的护理使不良反应发生率明显减少.结论应用个体化32P敷贴及介入治疗皮肤血管瘤疗效满意,在临床工作中应严格掌握32P的投药量,护理工作对提高治疗效果、减少不良反应发生起到了关键作用.
목적 탐토선용개체화방사성핵소32P부첩급개입치료피부혈관류적료효급기호리재치료중적작용.방법 선취2004년12월지2009년4월진치적피부혈관류환자734례,응용개체화치료방안급호리조시:안1 Gy·cm-2·d-1제비부첩기,개입치료안6.8～10.0μCi/cm2결정투약량,근거혈관류적생장부위、환자년령결정투방32P방사제량,치료간격1.5～2.0개월.호리조시:진행유효구통,해제고필,건립치료신심;응용수마상궤재치료전후대병변처박조,병행계산궤존당후제성단인합병도,객관평개치료효과;발방건강교육처방,제공서면지도;전화회방,접수자순,제공지도,료해료효.결과 734례환자치유솔78.88%,총유효솔94.14%,단순성혈관류치료효과최호,년령여치료효과정부상관.침대성적호리사불량반응발생솔명현감소.결론 응용개체화32P부첩급개입치료피부혈관류료효만의,재림상공작중응엄격장악32P적투약량,호리공작대제고치료효과、감소불량반응발생기도료관건작용.
Objective To evaluate the therapeutic effect of 32P application and interventional therapy in skin hemangioma, and to sum up the role of nursing in the process of the treatment. Methods 734 cases of skin hemangiorna were involved in the study. Personalized treatment strategy and nursing measures were implemented according to different kinds of skin hernangioma, 32p application device was made with the dose of 1 Gy per square centimeter every day, and the total dose of interventional therapy was from 6.8μCi to 10.0μCi per square centimeter according to the site of lesions and the patients' age. The treatment interva] was about one and a haft month or two months. The specific nursing measures were as follows: effective communication should be undertaken to remove the concerns of patients before therapy. Meanwhile, the lesions should be taken a picture by a digital camera before and after therapy. Thus, the effect could be evaluated objectively. In addition, the follow-up by telephone also was done in the study. Results the cure rate and the effective rate of 32P in the treatment of skin hemangioma were 78.88% and 94.14% respectively.The treatment effect was the best in hemangioma simplex among different kinds of skin hemangioma. The treatment effect had a negative correlation with the age of the patients. Selective nursing reduced incidence of complication. Conclusions There's a satisfactory effect of 32p application and interventional therapy in the treatment of skin hemangioma. Meanwhile, nursing plays an important role in the treatment.