低龄直肠癌新辅助化疗护理  

Nursing for young patients with rectal cancer by treatment of neoadjuvant chemotherapy

作　　者：赵彩红[1] 许红磊[1] 李晓庆[1] 

机构地区：[1]山西省肿瘤医院结直肠肛门外科,山西太原030013

出　　处：《实用临床医药杂志》2013年第6期7-8,17,共3页Journal of Clinical Medicine in Practice

摘　　要：目的探讨低龄直肠癌新辅助化疗过程中出现的不良反应及观察方法并提出相应护理措施。方法对22例接受化疗的低龄直肠癌患者予以心理护理、调节饮食、静脉置管等,密切观察化疗的毒副反应。结果 22例患者均安全度过化疗周期,有4例(18.2%)患者消化道反应较大,经对症治疗后症状得到明显改善;13例(59%)患者消化道反应轻微,无明显恶心呕吐。6例(27.3%)患者伴有白细胞减少、肝肾功能下降。化疗期间无化疗药物外渗发生。5例(22.7%)患者在化疗过程中有明显的情绪悲观、抑郁现象。结论准确、精心、合理的护理可明显减少低龄直肠癌患者化疗期间的不良反应。Objective To explore the adverse reactions and the observation methods in the neoadjuvant chemotherapy of young patients with rectal cancer and propose the corresponding nurs- ing measures. Methods 22 young patients with rectal cancer were conducted with mental nursing, dietary regulation and venous catheterization for chemotherapy, and the adverse reactions and toxicity were closely observed. Results All the patients completed the chemotherapies successfully. 4 patients （18.2%） had obvious reactions on the digestive tract, and the symptoms were significantly improved after symptomatic treatment; 13 patients （59%） had mild reactions on the digestive tract, and there was no obvious nausea or vomiting in these patients; 6 patients （27.3 % ） had leukocytopenia and decline of liver and kidney functions. No exosmosis of chemotherapeutics occurred during the process of chemotherapy. 5 patients （22.7 % ） had obvious bad emotions such as pessimism and depression. Conclusion The accurate, careful and reasonable nursing can significantly reduce the incidence rate of adverse reactions during the chemotherapy of young patients with rectal cancer.

关 键 词：低年龄组 直肠癌 化疗 护理 

分 类 号：R473.73[医药卫生—护理学]