【摘要】 目的研究鼻咽癌IMRT同期放化疗患者放射性口腔黏膜炎的止痛效果。方法选取2014年4月—2015年4月期间,该院收治的鼻咽癌患者110例,随机分为对照组与观察组,各55例,对照组患者采用常规的疼痛管理,观察组患者实施IMRT同期放化疗,并采取营养干预与口腔护理等操作进行疼痛管理,比较两组患者的护理管理效果。结果管理后,观察患者的疼痛评分、生活质量、止痛药物用量、营养状况以及不良反应率等方面均显著优于对照组(P<0.05)。结论采用IMRT同期放化疗容易对鼻咽癌患者的口腔黏膜造成损伤,因此,越早进行疼痛管理,镇痛的效果也越显著,可有效提高鼻咽癌患者的临床效果,值得在临床上应用和推广。更多还原

【Abstract】 Objective To study the nasopharyngeal carcinoma IMRT over the same period the analgesic effect of inflammation of radioactive oral mucosa radiation and chemotherapy patients. Methods Selected during April 2014 to April 2015,our hospital 110 cases of patients with nasopharyngeal carcinoma(NPC), were randomly divided into control group and observation group, 55 cases, control group were treated by routine pain management, observation group implementing IMRT patients with radiation and chemotherapy, and take nutrition intervention for pain management operation, such as oral care,nursing management effect of two groups were compared. Results After management, observing the patient’s pain score, the quality of life, the dosage of analgesic drugs, nutritional status and adverse reaction rate were significantly better than that in control group(P<0.05). Conclusion Adopting the same period of IMRT radiation and chemotherapy to cause damage of oral mucosa in patients with nasopharyngeal carcinoma, therefore, the earlier for pain management, analgesic effect is significant, which can effectively improve the clinical effect of patients with nasopharyngeal carcinoma(NPC), is worth in the clinical application and promotion.更多还原