中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2012年
29期
3533-3535
,共3页
护理%肝肿瘤%热疗%放疗
護理%肝腫瘤%熱療%放療
호리%간종류%열료%방료
Nursing%Hepatocellular carcinoma%Hyperthermia%Radiotherapy
目的 观察热疗联合放疗对中晚期肝癌的疗效,总结热疗联合放疗的有效护理措施.方法 选择浙江萧山医院肿瘤放疗科36例中晚期肝癌患者,以不同时序行相控阵聚焦热疗联合放疗的患者作为观察组,以同期25例行单纯放疗肝癌患者为对照组,分别于治疗前、治疗中及治疗后进行针对性护理,比较两组患者并发症发生率.结果 观察组临床缓解率为72％,其中以放疗序贯热疗时序最高为80％,对照组临床缓解率为56％.两组比较,差异有统计学意义(x2=4.49,P＜0.05).通过采用整体护理措施和全程护理干预,患者未发生严重并发症,不良反应以乏力、疼痛加重、发热、肝功能损害为主,不同治疗方法不良反应比较,差异无统计学意义(x2=3.59,P＞0.05).结论 相控阵聚焦热疗联合放疗对中晚期肝癌具有良好疗效,以放疗序贯热疗时序为优,整体护理措施可预防并发症发生,确保热疗效果,提高患者生存质量.
目的 觀察熱療聯閤放療對中晚期肝癌的療效,總結熱療聯閤放療的有效護理措施.方法 選擇浙江蕭山醫院腫瘤放療科36例中晚期肝癌患者,以不同時序行相控陣聚焦熱療聯閤放療的患者作為觀察組,以同期25例行單純放療肝癌患者為對照組,分彆于治療前、治療中及治療後進行針對性護理,比較兩組患者併髮癥髮生率.結果 觀察組臨床緩解率為72％,其中以放療序貫熱療時序最高為80％,對照組臨床緩解率為56％.兩組比較,差異有統計學意義(x2=4.49,P＜0.05).通過採用整體護理措施和全程護理榦預,患者未髮生嚴重併髮癥,不良反應以乏力、疼痛加重、髮熱、肝功能損害為主,不同治療方法不良反應比較,差異無統計學意義(x2=3.59,P＞0.05).結論 相控陣聚焦熱療聯閤放療對中晚期肝癌具有良好療效,以放療序貫熱療時序為優,整體護理措施可預防併髮癥髮生,確保熱療效果,提高患者生存質量.
목적 관찰열료연합방료대중만기간암적료효,총결열료연합방료적유효호리조시.방법 선택절강소산의원종류방료과36례중만기간암환자,이불동시서행상공진취초열료연합방료적환자작위관찰조,이동기25례행단순방료간암환자위대조조,분별우치료전、치료중급치료후진행침대성호리,비교량조환자병발증발생솔.결과 관찰조림상완해솔위72％,기중이방료서관열료시서최고위80％,대조조림상완해솔위56％.량조비교,차이유통계학의의(x2=4.49,P＜0.05).통과채용정체호리조시화전정호리간예,환자미발생엄중병발증,불량반응이핍력、동통가중、발열、간공능손해위주,불동치료방법불량반응비교,차이무통계학의의(x2=3.59,P＞0.05).결론 상공진취초열료연합방료대중만기간암구유량호료효,이방료서관열료시서위우,정체호리조시가예방병발증발생,학보열료효과,제고환자생존질량.
Objective To explore the effect of deep reginal hyperthermia plus teletherapy and nursing intervention on advanced hepatocellular carcinoma.Methods 36 cases were treated by the deep reginal hyperthermia and teletherapy at different time series,meanwhile,25 cases treated by teletherapy solely as control group.The nursing intervention was performed befor the therapy,during the course of therapy and after the therapy,the cornplication in the two groups were compared.Results The remission rate (RR) in hyperthermia was 72％,and the RR was 80％ in teletherapy followed heperthermia group,and the RR rate was only 56％ in teletherapy group.All patients finished the therapy successfully without severe complication by mean of performing the nursing intervention university and in the entire process.Conclusions The hyperthermia cornbinated with teletherapy have a good effect on advanced hepatocellular carcinoma and the telethapy got the best results and followed with hyperthermia telethapy.The nursing intervention could prevent the complication and improve the effect of herperthermia and the quality of life.
