预防头颈部肿瘤放疗患者口腔粘膜炎护理措施分析.docVIP

预防头颈部肿瘤放疗患者口腔粘膜炎护理措施分析 　　摘要：目的：探讨头颈部肿瘤放疗患者实施针对性护理在口腔粘膜炎预防中的效果;方法：从我院2013年12月至2015年2月收治的头颈部肿瘤接受放疗患者中选取54例为研究对象， 随机分为观察组27例，对照组27例，对照组行常规护理，观察组实施针对性护理，观察两组患者口腔粘膜炎发生情况;结果：观察组口腔粘膜反应程度同对照组比较，明显较轻，观察组口腔溃疡发生率同对照组比较，明显较低，差异存在统计学意义（P0.05）;结论：对接受放疗头颈部肿瘤患者实施针对性护理，能有效预防口腔粘膜炎发生，减少患者治疗痛苦，值得推广。 　　关键词：头颈部肿瘤;口腔粘膜炎;护理 　　Abstract：Objective：To probe into the clinical effects of nursing measures in the prevention of head and neck cancer radiotherapy in patients with oral mucositis.Methods：54patients who suffered from the？head and neck cancerand who accepted radiotherapy treatments in our hospital from December， 2013 to February， 2015were taken as the research objects， and these patients were randomly divided into the control group and the observation group， with 27 patients in each group. In the control group， they were conducted the routine nursing while the observation group was conducted targeted nursing， then， the incidence of oral mucositis of wo groups were observed. Outcome： The degree of oral mucosa reaction in the observation group were evidently lighter thanthat in the control group， while the incidence of oral ulcer in the observation group were evidently lower than？that in the control group and the differences had the statistical significance （Plt;0.05）.Conclusion： The targeted nursing treatment for patients with head and neck tumors accept radiotherapy which can effectively prevent the occurrence of oral mucositis and reduce patients pain， thus should be promoted in the clinical application. 　　Keywords：head and neck neoplasms;oral mucositis;nursing 　　放疗在头颈部肿瘤临床治疗中应用较广，临床观察发现，在放疗过程中，患者易出现多种并发症，而放射性口腔粘膜炎较为常见。口腔粘膜炎主要表现为粘膜充血，出现红斑，溃疡及疼痛，严重影响患者生活质量，加重患者治疗痛苦。研究发现[1]，在放疗过程中，通过采取有效护理配合措施，可对口腔粘膜炎进行预防，缓解症状，防止溃疡发生。本研究对两组患者护理方法进行对比，探讨了针对性护理措施对于口腔粘膜炎的预防效果，报告如下： 　　1. 资料与方法 　　1.1一般资料 　　 从我院2013年12月至2015年2月收治的头颈部肿瘤接受放疗患者中选取54例为研究对象， 随机分为观察组与对照组，观察组27例，男性16例，女性11例，年龄32-74岁，平均（59.4±3.2）岁，对照组27例，男性17例，女性10例，年龄34-75岁，平均（58.8±3.1）岁。纳入标准：符合疾病诊断标准者;与本研究配合者;排除标准：对放疗耐受较差者;放疗前存在口腔疾病患者;其他部位存在