【摘要】 目的:探讨促进放射性口腔炎发生发展的危险因素,为放射性口腔炎的预防提供证据。方法:观察并记录56例鼻咽癌患者放射性口腔炎的严重程度,将其分为轻中度和重度两个等级,采用多因素二分类Logistic回归分析来探讨放射性口腔炎严重程度与年龄、性别、肿瘤临床分期、同期放化疗、白细胞计数、BMI、吸烟、饮酒情况及糖尿病史的关联性。结果 :放射性口腔炎的严重程度与白细胞计数下降具有显著相关性(P<0.05),而与其他指标相关性不明显(P>0.05)。结论:放化疗期间白细胞计数下降是促进放射性口腔炎发生发展的危险因素之一,临床上对于骨髓抑制的患者应及时给予促白细胞恢复治疗。更多还原

【Abstract】 Objective To investigate the risk factors of radiation-induced oral mucositis(ROM) and to provide evidence for the prevention of ROM. Methods The severity of ROM was observed and recorded in 56 patients with nasopharyngeal carcinoma. The association of the severity of mucositis with age, sex, clinical stage,concurrent chemoradiotherapy, white blood cell count,BMI index, smoking, alcohol intake, and history of diabetes were assessed by using multivariate logistic regression analysis. Results The severity of ROM was significantly associated with a decrease in leucocyte count(P < 0.05), and it was not markedly correlated with the other eight factors(P > 0.05). Conclusions Leukopenia was one of the risk factors for the development of ROM. In clinical pratice,leukopenia should be corrected in patients with bone marrow depression due to radiotherapy in a timely manner.更多还原