护理干预对宫颈癌外照射加后装治疗临床探究.docVIP

护理干预对宫颈癌外照射加后装治疗临床探究 　【摘要】 目的:探讨护理干预对宫颈癌外照射加后装治疗的临床疗效的影响。方法：将64例初治宫颈癌住院患者随机分成两组，观察组33例，除接受与对照组相同的放射治疗、后装治疗和疾病护理外，还接受心理护理；对照组31例患者采用相同的放射治疗、后装治疗和疾病常规护理。结果：两组患者近期疗效差异无显著性(Pgt;0.05)；而放疗并发症明显低于对照组(Plt;0.05)。结论：运用适当心理护理，后装治疗前、后护理措施能有效地减轻施行后装治疗并发症的发生，提高宫颈癌患者的近期疗效及其生活质量。 【关键词】 宫颈癌；放射治疗；后装治疗；护理干预 　　Clinical Study of Nursing Intervention Influencing the Treatment Effect of the External Radiation and Afterloading Therapy for the Uterine Cervix Cancer 　　Abstract: Objective To explore the statement of nursing intervention contribute to clinical trerapeutic effect of external radiation and afterloading therapy of the uterine cervix cancer. Methods Sixtyfour patients with the initial treatment uterine cervix cancer were randomly divided into two groups.31 patients(contral group)applied for the diseasegeneral nursing means,convention external radiation and after-loading therapy. And 33 patients(treatment group)applied for the same treatment means and accepted mental nursing. Results Difference between two groups on short term therapeutic effect showed no statistic significance(Pgt;0.05).The radiotherapy complication on the treatment group was obvious exceeded the contral group(Plt;0.05). Conclusion It can relieve the radiotherapy complication and improve the therapeutic effect and qulity of life to apply to proper mental nursing and the diseasegeneral nursing means in the afterloading therapy. 　　Key words: Uterine cervix cancer; Radiotherapy; After-loading therapy; Nursing intervention 　　放射治疗是宫颈癌最主要的治疗方法，适应范围广，各期均可适用，以腔内照射(即后装治疗)配合外照射的方法是宫颈癌应用最为广泛，但放疗的并发症也较常见，如全身反应、感染、阴道炎、阴道流血、直肠反应等，为了减轻患者心理压力，减轻放疗并发症，提高疗效。笔者对64例初治宫颈癌住院患者进行随机分组研究，现报道如下。 　　1 材料与方法 　　1.1 研究对象 选择我科1999年1月至2002年12月收住院初治宫颈癌患64例，年龄25岁～66岁，平均年龄55．2岁；均有病理学或细胞学诊断。临床分期(TNM分期)Ⅰ～Ⅲ，Karnofsky评分70分以上，预期生存3个月以上，治疗前做血象、肝肾功能、心电图检查，无放疗、化疗禁忌证，随机分为：观察组(33例)和对照组(31例)。 　　1.2 治疗及方法 两组病例均采用常规体外放疗加后装治疗和常规护理；观察组采用放疗前后进行心理护理，并在后装治疗前、后加强心理护理。放疗方法采用60Co或6 MVX线外照射，先全盆前后对穿大野照射，DT 30 Gv，后盆腔四野照射(中间)加量至50 Gv，2 Gy/d，5次/周。四野照射时同时后装治疗，2次/周，每次A