【摘要】 目的:探讨新型软聚硅酮泡沫敷料美皮康和康复新液对接受放射治疗鼻咽喉癌病人颈部皮肤损伤的防护作用及其对病人情绪的影响。方法:选取接受放射治疗鼻咽癌病人54例为研究对象,采用随机数字表法将病人分为对照组(康复新液组)和观察组(美皮康组),各27例,于放射治疗2 d前给予对照组康复新液、观察组美皮康护理干预,比较2组病人颈部皮肤损伤程度、创面愈合时间、愈合创面比例和干预前后的SDS评分、SAS评分。结果:2组病人颈部皮肤损伤情况差异有统计学意义(P<0.05);观察组颈部皮肤创面愈合时间明显少于对照组(P<0.01),愈合创面比例明显高于对照组(P<0.01)。干预前,2组病人SAS、SDS评分差异均无统计学意义;干预后,2组SAS、SDS评分均较干预前降低(P<0.05),且观察组SAS、SDS评分均低于对照组(P<0.05)。结论:新型软聚硅酮泡沫敷料美皮康能明显减轻鼻咽喉癌放射治疗所致的颈部皮肤损伤程度、缩短创面愈合时间,同时可缓解病人的焦虑、抑郁情绪,值得临床推广使用。更多还原

【Abstract】 Objective:To investigate the protective effects of new soft silicone foam dressing Mepilex Lite and Kangfuxin solution on neck skin injury and its effects on emotion in nasopharyngeal carcinoma(NPC) patients treated with radiotherapy.Methods:Fifty-four NPC patients treated with radiotherapy were randomly divided into the control group(Mepilex group) and observation group(Kangfuxin group)(27 cases in each group).The control group and observation group were nursed with Kangfuxin solution and Mepilex Lite after 2 d of radiotherapy.The degree of neck skin injury,wound healing time,wound healing proportion,SDS score and SAS score before and after intervention were compared between two groups.Results:There was statistical significance in the skin injury between two groups(P<0.05).The healing time and rate of skin wound in observation group were significantly less and higher than those in control group,respectively(P<0.01).Before intervention,the differences of the scores of SAS and SDS between two groups were not statistically significant(P>0.05).After intervention,the scores of SAS and SDS in two groups decreased compared with before inervention(P<0.05),and the scores of SAS and SDS in observation group were lower than those in control group(P<0.05).Conclusions:The application of Mepilex Lite can significantly reduce the degree of neck skin injury caused by radiotherapy for nasopharyngeal carcinoma,shorten the healing time of wound surface,and relieve the anxiety and depression of patients,which is worthy of clinical promotion.更多还原