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您现在的位置: 医学全在线 > 医学论文 > 论文投稿 > 正文:医学免费论文:鼻咽癌颈淋巴结转移灶放疗、热疗的观察及护理
    

医学免费论文:鼻咽癌颈淋巴结转移灶放疗、热疗的观察及护理

来源:本站原创 更新:2013-10-21 论文投稿平台

医学免费论文:鼻咽癌颈淋巴结转移灶放疗、热疗的观察及护理

【摘要】  目的:比较放疗配合热疗在治疗鼻咽癌颈淋巴结转移灶中的作用。方法:对我科收治的46例有颈部淋巴结转移癌≥4 cm的鼻咽癌患者,随机分成两组,观察组26例,采用放疗+热疗方法治疗;对照组20例,采用单纯放疗方法治疗。结果:放疗结束时,观察组、对照组颈部淋巴结全消率分别为61.5%、30.0%,经χ2检验,P<0.05,有统计学意义。结论:对颈部较大淋巴结转移的鼻咽癌患者,放疗配合热疗有明显的互补和增效作用,做好热疗过程的护理,可减少热疗不良反应,增加治疗肿瘤的敏感性,以改变患者的生存质量,提高生存率。

【关键词】  鼻咽癌;颈淋巴结;热疗;放射疗法;护理

Effect of radiotherapy combined with hyperthermia on cervical lymph node metastasis of nasopharyngeal carcinoma and nursingCHEN Yingsai, CHEN Jiaoyan, WANG Liping, ZHOU Guimei(Department of Radiotherapy, Hainan Provincial People's Hospital Haikou 570311, China)[ABSTRACT] Objective: To investigate the effects of radiotherapy combined with hyperthermia on cervical lymph node metastasis of nasopharyngeal carcinoma and the role of nursing. Methods: Fortysix patients with enlarged cervical lymph node (diameter ≥ 4 cm) due to metastasis of nasopharyngeal carcinoma undergoing treatment were randomly assigned into group A (n=26) and group B(n=20), patients in group A were treated with radiotherapy and hyperthermia, patients in group B were treated with radiotherapy, the patients were received good nursing, and the effects were studied and nursing care was summarized; χ2 test was used for the analysis of qualitative data, and P<0.05 was considered significant. Results: After therapy, the resolution of enlarged cervical lymph nodes in group A and B was 61.5% and 30% respectively, the difference between the two groups was significant (P<0.05). Conclusion: Hyperthermia has marked adjunctive effects on the radiotherapy of cervical lymph node metastasis of nasopharyngeal carcinoma and may enhance the general effect; delicate nursing may reduce adverse reactions of hyperthermia, increase sensitivity of carcinoma to radiotherapy, improve life quality , and enhance survival rate医.学.全.在.线www.lindalemus.com.

[KEY WORDS] Nasopharyngeal carcinoma; Cervical lymph node; Hyperthermia therapy; Nursing

鼻咽癌发生颈淋巴结移转很常见,对较大的淋巴结转移,单纯放疗效果欠佳,局部配合热疗提高治愈率,肿瘤热疗又称加温治疗,是治疗肿瘤患者的一项新技术,通过肿瘤组织加热的温度达到41~43 ℃,并维持30~40 min以上,引起肿瘤细胞生长受阻,凋亡的一种治疗方法,有明显的互补和增效作用[1,2]。现将热疗的护理报道如下。


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