CAJ | 학술논문

目的：探讨胸腔灌注化疗药配合深部热疗治疗恶性胸水的护理。方法：68例恶性胸水患者采用随机数字法随机分为2组,治疗组给予胸腔灌注羟喜树碱+复方苦参注射液配合深部热疗治疗,对照组给予胸腔灌注羟喜树碱+复方苦参注射液治疗。2组均予以专科护理,治疗组同时给予热疗护理。结果：治疗组有效率为85.71%,对照组有效率66.67%,2组疗效差异有统计学意义(P<0.05),2组不良反应差异无统计学意义（P>0.05）。结论：羟喜树碱+复方苦参注射液胸腔灌注联合深部热疗治疗恶性胸水疗效确切,不良反应少,正确的护理干预是保证疗效和减少不良反应的基础,值得临床推广应用。
목적：탐토흉강관주화료약배합심부열료치료악성흉수적호리。방법：68례악성흉수환자채용수궤수자법수궤분위2조,치료조급여흉강관주간희수감+복방고삼주사액배합심부열료치료,대조조급여흉강관주간희수감+복방고삼주사액치료。2조균여이전과호리,치료조동시급여열료호리。결과：치료조유효솔위85.71%,대조조유효솔66.67%,2조료효차이유통계학의의(P<0.05),2조불량반응차이무통계학의의（P>0.05）。결론：간희수감+복방고삼주사액흉강관주연합심부열료치료악성흉수료효학절,불량반응소,정학적호리간예시보증료효화감소불량반응적기출,치득림상추엄응용。
ObjectiveTo observe the effectiveness of deep hyperthermia combined with thoracic perfusion of hydroxy camptothecin (HCPT) plus compound Kushen injection,and special nursing intervention. Methods: 68 patients with malignant pleural effusion were randomly divided into two groups. The treatment group received thoracic perfusion (HCPT plus compound Kushen injection) combined with deep hyperthermia treatment;while the control group only received thoracic perfusion. Both groups were under general care;the treatment group was given special post-hyperthermia nursing besides. Results: The effective rate was 85.71% and 66.67% in the treatment group and control group (P<0.05). The difference of adverse reactions between the two groups was not statistically significant (P > 0.05). Conclusion: The thoracic perfusion of HCPT + compound Kushen injection combined with deep hyperthermia treatment and special nursing were effective in malignant thoracic effusion patients. Few severe adverse reactions were observed. Proper nursing intervention is important to ensure the efficacy and reduce adverse reactions.