放射性口腔黏膜炎治疗防护进展-现代仪器与医疗.PDFVIP

《现代仪器与医疗》 2013 年 第 19 卷 第 2 期 综述与专论 * 放射性口腔黏膜炎治疗防护进展    Progress on treatment and protection of radioactive oral mucositis 摘  要  放射性口腔黏膜炎是指放射线电离辐射使放射区域内微血管壁肿胀，管壁 变窄或堵塞，引发血供障碍所发生的急性或慢性口腔黏膜损伤。随着照射量递增口 腔内发生不同程度变化，如口腔黏膜炎、味觉障碍、念珠菌感染、张口受限、放射 1 1 2 性龋齿，甚至是放射性颌骨骨髓炎，可影响患者进食、睡眠, 乃至中断放疗或导致全 达林泰 **  包晶晶   鲍 琢   1 1 身败血症，重者甚而危及生命。放疗前、制定放疗计划阶段、放疗实施阶段及放疗 付铭蕾   德乐黑巴特尔 *** Da Lintai1 Bao Jingjing1 Bao Zhuo2 后期临床处理，对于提高患者生活质量以及延长生存期均有积极意义。 1 1 Fu Minglei Delehe Bateer 关键词  放射性口腔黏膜炎 治疗 防护 （1.内蒙古医科大学附属医院 Abstract Radioactive oral mucositis refers to the phenomenon that the radiation of ion- 口腔科  呼和浩特  010050； izing radiation has caused the swelling of the capillary wall, wall narrowing or blockage 2.内蒙古医科大学附属医院内 in the radiation area and acute or chronic oral mucosal injury in the blood supply. The 科  呼和浩特  010050） increments of irradiation dose can cause varying degrees of changes in the mouth, such (1.Department of Stomatology, The Affiliated Hospital of Inner Mongolia as oral mucositis, taste disturbance, candida infection, trismus, radiation caries, and even Medical University, Hohhot 010050; radioactive mandibular osteomyelitis. All these can affect the patient’s eating, sleeping, 2. Department of Internal Medicine, or cause the interruption of radiotherapy or lead to systemic sepsis, even endanger the The Affiliated Hospital of Inner Mongolia life. Before radiotherapy, radiotherapy planning stage, radiotherapy implementation Medical University, Hohhot 010050) phase and radiotherapy late clinical treatment for these p