利多卡因胶浆在鼻咽癌放疗反应病人留置胃管中的应用.pdfVIP

·42 · CHIN ESE NURSIN G RESEARCH 　January ,2005 Vo1. 19 No. 1A 利多卡因胶浆在鼻咽癌放疗反应病人留置胃管中的应用1) Application of lidocane cap sule in detained ga stric canal for patients with na sopharyngeal carcinoma developed radiotherapeutic reaction 陈少明 ,王逸如 ,许秀蓉 ,张 　彬 ,蔡娇霞 Chen Shaoming , Wang Yiru , Xu Xiurong , et al (Affiliated Tumor Hospital of Medical College of Shantou University , Guangdong 515031 China) 摘要 : [ 目的] 提高鼻咽癌放疗反应 Abstract :Objective :to enhance the achievement of detaining gastric canal for pa 病人留置胃管的成功率 ,确保治疗 tients with nasopharyngeal cancer developed radiotherapeutic reaction to ensure 的连续性。[ 方法 ] 将 60 例鼻咽癌 the therap y continuity. Method :a total of 60 patients with nasopharyngeal carci 放疗出现口腔黏膜反应致无法进食 noma were divided into group A and group B ,who could eat little or no food be 或进食量极少的病人随机分为两 cause of buccal mucosa reaction induced by radiotherap y. The gastric canal were 组 ,A 组按常规方法置胃管 ,B 组在 置胃管前先给予心理护理 ,然后含 detained as routine for patients in group A ,while group B patients were given 服利多卡因胶浆 ,其余操作同常规 mental nursing ,and taken Lidocaine buccally other detained canal processes were 法 ,观察置胃管的一次成功率及病 as routine. Then one - time achievement of detaining canal and patients ’reaction 人的反应。[ 结果 A 组 15 例未能 were observed. Result :there were 15 patients not detained geatric canal one time , 一次置胃管成功 ,其中 3 例因置胃 and three of them refused to accept it again because of increased pain and mucosa 管时鼻咽部疼痛加重、黏膜出血而 bleeding. However patients were all detained gastric canal at the first time with 拒绝再次置入