恶性肿瘤患者放化疗后发生重度骨髓抑制的临床护理对策  

Nursing Methods for Cancer Patients with Severe Myelosuppression Caused by Radio-chemotherapy

作　　者：李莉[1] 陈世梅[1] 易珑[1] 姜忍[1] 

机构地区：[1]四川省肿瘤医院放疗科,成都610041

出　　处：《肿瘤预防与治疗》2010年第5期424-426,共3页Journal of Cancer Control And Treatment

摘　　要：目的:探讨放化疗后恶性肿瘤患者发生重度骨髓抑制的临床护理方法。方法:对37例恶性肿瘤患者实施放化疗,其后1周～3周发生重度骨髓抑制,临床上给予心理护理、保护性隔离、中心静脉导管护理、并发症护理、饮食及健康教育等护理措施,按医嘱积极对症治疗。结果:37例重度骨髓抑制患者通过加强临床护理措施如期完成治疗,仅1例患者因为骨髓抑制出现感染性发热和出血而死亡。结论:通过采取积极的护理措施及对症治疗,可以减少重度骨髓抑制的并发症,使患者能够安全、快速地渡过严重骨髓抑制的危险期。Objective： To discuss the nursing methods for cancer patients with severe myelosuppression caused by radio-chemotherapy. Methods： We conducted mental nursing, protective isolation, central venous catheter caring, complication caring, as well as food-intake and health education on 37 cancer patients with severe myelosuppression occurred 1 - 3 weeks after radio-chemotherapy. We also gave active symptomatic treatment to them according to medical orders. Results： 37 patients successfully finished the theatment as scheduled through enhancing clinical nursing measures, and only one died due to infectious fever and bleeding caused by myelosuppression. Conclusion： By carrying out active nursing plan and symptomatic theatment, we can reduce the complications caused by severe myelosuppression , thus help patients come through the risky period of severe myelosuppression securely and quickly.

关 键 词：骨髓抑制 保护性隔离 G—CSF 护理 放化疗 

分 类 号：R473.73[医药卫生—护理学]