国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2014年
16期
2555-2558
,共4页
ALA-PDT%高频电灼%基底细胞癌%临床疗效%护理
ALA-PDT%高頻電灼%基底細胞癌%臨床療效%護理
ALA-PDT%고빈전작%기저세포암%림상료효%호리
ALA-PDT%High-frequency electrofulguration%Basal cell carcinoma%Clinical efficacy%Nursing care
目的 探讨5-氨基酮戊酸光动力疗法(ALA-PDT)结合高频电灼治疗基底细胞癌的疗效及护理体会.方法 对40例基底细胞癌患者,根据个体的皮损状况给予ALA-PDT联合高频电灼治疗,同时给予良好的护理及指导,对完全缓解的病例进行为期6个月的随访.结果 经过5～15次的治疗和良好的护理后,完全缓解31例(77.5％),部分缓解4例(10.0％),无效5例(12.5％),总有效率为87.5％;美容效果满意度评价中,满意29例(72.5％)、一般满意4例(10.0％)、不满意7例(17.5％);31例完全缓解的患者随访6个月,有4例(12.9％)复发;所有病例均未出现感染、创口愈合不良.结论 ALA-PDT结合高频电灼治疗对基底细胞癌疗效优越,结合良好的护理措施,可以提高治疗效果,增加患者对治疗的满意度.
目的 探討5-氨基酮戊痠光動力療法(ALA-PDT)結閤高頻電灼治療基底細胞癌的療效及護理體會.方法 對40例基底細胞癌患者,根據箇體的皮損狀況給予ALA-PDT聯閤高頻電灼治療,同時給予良好的護理及指導,對完全緩解的病例進行為期6箇月的隨訪.結果 經過5～15次的治療和良好的護理後,完全緩解31例(77.5％),部分緩解4例(10.0％),無效5例(12.5％),總有效率為87.5％;美容效果滿意度評價中,滿意29例(72.5％)、一般滿意4例(10.0％)、不滿意7例(17.5％);31例完全緩解的患者隨訪6箇月,有4例(12.9％)複髮;所有病例均未齣現感染、創口愈閤不良.結論 ALA-PDT結閤高頻電灼治療對基底細胞癌療效優越,結閤良好的護理措施,可以提高治療效果,增加患者對治療的滿意度.
목적 탐토5-안기동무산광동력요법(ALA-PDT)결합고빈전작치료기저세포암적료효급호리체회.방법 대40례기저세포암환자,근거개체적피손상황급여ALA-PDT연합고빈전작치료,동시급여량호적호리급지도,대완전완해적병례진행위기6개월적수방.결과 경과5～15차적치료화량호적호리후,완전완해31례(77.5％),부분완해4례(10.0％),무효5례(12.5％),총유효솔위87.5％;미용효과만의도평개중,만의29례(72.5％)、일반만의4례(10.0％)、불만의7례(17.5％);31례완전완해적환자수방6개월,유4례(12.9％)복발;소유병례균미출현감염、창구유합불량.결론 ALA-PDT결합고빈전작치료대기저세포암료효우월,결합량호적호리조시,가이제고치료효과,증가환자대치료적만의도.
Objectives To explore the clinical efficacy and nursing care of 5-aminolevulinic acidphotodynamic therapy (ALA-PDT) combined with high-frequency flectrofulguration for basal cell carcinoma (BCC).Methods 40 patients received ALA-PDT and high-frequency electrofulguration basing on individual lesion.They all received good nursing care and guidance.The completely remitted patients were followed up for 6 months.Results After 5-15 times of treatment and good nursing care,31 patients (77.5％) got complete remission,4 (10.0％) partial remission,and 5 (12.5％) invalid.The total effective rate was 87.5％.29 patients (72.5％) were satisfied with the cosmetic results,4 (10.0％) moderately satisfied,and 7 (17.5％) dissatisfied.6 months followed-up showed that 4 patients(12.9％) recurred in the 31 complete remission patients.No patient got infection.No one' s wound healed poorly.Conclusions ALA-PDT combined with high-frequency electrofulguration in the treatment of BCC is quite effective.Coupled with good nursing measures,it can improve the therapeutic effect and increase the patients' satisfaction with treatment.
