白血病患者大剂量化疗后骨髓抑制的护理对策  

作　　者：刘运梅[1] 肖丁华[1] 周琴[1] 于春芳[1] 

机构地区：[1]桂林医学院附属医院血液科,广西桂林541001

出　　处：《中外医疗》2012年第17期10-11,共2页China & Foreign Medical Treatment

基　　金：2008年广西壮族自治区卫生厅计划课题(合同号Z2008303)

摘　　要：目的观察白血病患者大剂量化疗后骨髓抑制的发生情况,并提出相应的护理对策以供临床参考。方法选择我院2011年1～12月收治的白血病患者85例,均给予大剂量化疗,观察化疗后患者骨髓抑制的发生率,并采取相应的护理对策,并比较护理干预前后患者心理状态的变化。结果全部患者经化疗后均发生不同程度的骨髓抑制,经对症治疗和护理干预后,患者心理状态均有不同程度的改善,均顺利完成化疗疗程。结论对大剂量化疗后发生骨髓抑制的白血病患者实施相应的护理干预可改善患者临床症状和心理状态,保证化疗顺利进行,值得推广应用。Objective This study is to observe the occurrence of bone marrow suppression of patients with leukemia after highdose chemotherapy and provide corresponding nursing countermeasures for clinical reference. Methods 85 patients with leukemia hospitalized in our hospital from January 2011 to December 2011 were selected and treated with high-dose chemotherapy. Then, the occurrence of bone marrow suppression after chemotherapy was observed, corresponding nursing countermeasures were taken and the mental status of patients before and after the nursing intervention was compared. Results Different degrees of bone marrow suppression occurred after chemotherapy. The mental status of patients improved to different degrees after symptomatic treatment and nursing intervention and all patients finished the chemotherapy successfully. Conclusion Corresponding nursing intervention to patients with leukemia after high-dose chemotherapy can improve the clinical symptoms and mental status of patients in order to ensure the smooth progress of chemotherapy. So, nursing intervention is worthy of popularization and application.

关 键 词：白血病 大剂量化疗 骨髓抑制 护理对策 

分 类 号：R473[医药卫生—护理学]