中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2013年
18期
2763-2765
,共3页
放射性,直肠炎%保留灌肠
放射性,直腸炎%保留灌腸
방사성,직장염%보류관장
Radiativity,proctitis%Enema
目的 探讨保留灌肠对放射性直肠炎的防治效果.方法 将120例盆腔恶性肿瘤放疗患者按数字表随机分为两组,每组60例.观察组放疗后2～14d开始保留灌肠,每天1次.对照组放疗后期当患者出现放射性直肠炎时,开始保留灌肠,每天1次.观察两组患者放疗期间放射性直肠炎的发生率及严重程度.结果 观察组放射性直肠炎发生率为35.0％,明显低于对照组的83.3％(χ2=47.623,P=0.000)；观察组Ⅱ、Ⅲ度放射性直肠炎发生率分别为3.3％、0,均低于对照组的26.7％、6.7％(χ2=12.810、4.138,P=0.000、0.042)；观察组总有效率为100.0％,明显高于对照组的72.0％(χ2=32.558,P=0.000).结论 保留灌肠能有效治疗放射性直肠炎,放疗后即开始行保留灌肠,效果更加显著.
目的 探討保留灌腸對放射性直腸炎的防治效果.方法 將120例盆腔噁性腫瘤放療患者按數字錶隨機分為兩組,每組60例.觀察組放療後2～14d開始保留灌腸,每天1次.對照組放療後期噹患者齣現放射性直腸炎時,開始保留灌腸,每天1次.觀察兩組患者放療期間放射性直腸炎的髮生率及嚴重程度.結果 觀察組放射性直腸炎髮生率為35.0％,明顯低于對照組的83.3％(χ2=47.623,P=0.000)；觀察組Ⅱ、Ⅲ度放射性直腸炎髮生率分彆為3.3％、0,均低于對照組的26.7％、6.7％(χ2=12.810、4.138,P=0.000、0.042)；觀察組總有效率為100.0％,明顯高于對照組的72.0％(χ2=32.558,P=0.000).結論 保留灌腸能有效治療放射性直腸炎,放療後即開始行保留灌腸,效果更加顯著.
목적 탐토보류관장대방사성직장염적방치효과.방법 장120례분강악성종류방료환자안수자표수궤분위량조,매조60례.관찰조방료후2～14d개시보류관장,매천1차.대조조방료후기당환자출현방사성직장염시,개시보류관장,매천1차.관찰량조환자방료기간방사성직장염적발생솔급엄중정도.결과 관찰조방사성직장염발생솔위35.0％,명현저우대조조적83.3％(χ2=47.623,P=0.000)；관찰조Ⅱ、Ⅲ도방사성직장염발생솔분별위3.3％、0,균저우대조조적26.7％、6.7％(χ2=12.810、4.138,P=0.000、0.042)；관찰조총유효솔위100.0％,명현고우대조조적72.0％(χ2=32.558,P=0.000).결론 보류관장능유효치료방사성직장염,방료후즉개시행보류관장,효과경가현저.
Objective To study the effect of prevention and treatment for patients with radiation proctitis by retention enema.Methods According to the digital table,120 patients with pelvic tumor treated with radiotherapy were randomly divided into two groups.The observation group was taken retention enema 2 to 14 days after radiotherapy once a day.The control group was taken retention enema when the patients with radiation proctitis after radiotherapy.The severity and frequency of radiation proctitis were observed in the two groups.Results The incidence of radiation proctitis in the observation group was 35.0％,which was significantly lower than that of the control group (83.3％) (χ2 =47.623,P =0.000).The severity of radiation proctitis was also significantly lower than that of control group.The incidence of Ⅱ and Ⅲ degree of radiation proctitis in the observation group were 3.3％,0,respectively,which were significantly lower than those of the control group (26.7％,6.7 ％) (χ2 =12.810、4.138,P =0.000、0.042).The total efficiency rate was 100.0％,which was significantly higher than that of the control group (72.0％)(χ2 =32.558,P =0.000).Conclusion Retention enema can effectively treat the radiation proctitis and the effect will be more significant if the retention enema starts soon after radiotherapy.
