CAJ | 학술논문

目的：探讨直肠癌术前辅助放化疗引起放射性直肠炎的分级护理要点。方法对本院收治的162例直肠癌患者行术前辅助放化疗，对出现放射性直肠炎患者给予实施分级护理，并观察治疗效果。结果162例患者中110例患者发生放射性直肠炎，发生率67.9%，其中Ⅰ级放射性直肠炎患者62例（占38.3%），Ⅱ级29例（占17.9%），Ⅲ级19例（占11.7%）。经分级护理及治疗均获得良好的治疗效果。结论直肠癌术前辅助放化疗患者放射性直肠炎发生率高，分级护理能有效减轻患者放射性直肠炎症状或促进愈合，提高患者生活质量，使患者顺利渡过直肠癌术前辅助放化疗过程。
목적：탐토직장암술전보조방화료인기방사성직장염적분급호리요점。방법대본원수치적162례직장암환자행술전보조방화료，대출현방사성직장염환자급여실시분급호리，병관찰치료효과。결과162례환자중110례환자발생방사성직장염，발생솔67.9%，기중Ⅰ급방사성직장염환자62례（점38.3%），Ⅱ급29례（점17.9%），Ⅲ급19례（점11.7%）。경분급호리급치료균획득량호적치료효과。결론직장암술전보조방화료환자방사성직장염발생솔고，분급호리능유효감경환자방사성직장염증상혹촉진유합，제고환자생활질량，사환자순리도과직장암술전보조방화료과정。
Objective To explore the key points of graded nursing care to rectal cancer patients with radioactive proctitis induced by preoperative neoadjuvant chemoradiotherapy.Methods The clinical data of 162 rectal cancer patients undergoing neoadjuvant chemoradiotherapy were analyzed retrospectively. The experience of grading nursing care for patients with radioactive proctitis induced by neoadjuvant chemoradiotherapy was summarized.Results Of 162 patients,radioactive proctitis occurred in 110 patients(67.9%).Among the 110 patients with proctitis,62(38.3%)were grade I radioactive proctitis,29(17.9%)gradeⅡand 19(11.7%)gradeⅢ.The graded nursing was done to the patients with radioactive proctitis and achieved good effect.Conclusions Radioactive proctitis has a high incidence in rectal cancer patients with preoperative neoadjuvant chemoradiotherapy and graded nursing care can reduce the distress of patients with radioactive proctitis effectively and promote wound healing,thus to improve their quality of life.