光动力疗法辅助手术治疗脑胶质瘤的护理体会  

Experience to Nurse Gliomas Patients after Surgical Ablation Assisted with Photodynamic Therapy

作　　者：刘爽[1] 李建华[1] 岳武[1] 

机构地区：[1]哈尔滨医科大学附属第四医院微创神经外科,哈尔滨市150001

出　　处：《中国激光医学杂志》2013年第2期74-77,共4页Chinese Journal of Laser Medicine & Surgery

基　　金：国家自然科学基金资助(81072079)

摘　　要：目的总结光动力疗法辅助手术治疗脑胶质瘤的护理经验。方法恶性胶质瘤患者128例,男性69例,女性59例。分为两组:治疗组70例,即PDT辅助手术治疗。对照组58例,仅进行手术治疗。对治疗患者进行术前、术中和术后全程护理,并配合一般护理、心理护理和健康教育等综合护理。结果治疗组患者未见皮肤光敏反应等其他不良反应,1年生存率72.9%,2年生存率45.7%。对照组患者1年生存率60.0%,2年生存率24.0%。两组比较差异具有显著意义(P<0.05)。结论光动力疗法辅助手术治疗脑胶质瘤的护理,无一例患者出现皮肤光敏反应等并发症,均安全度过脑水肿期,疗效显著。Objective To sum up and review the experience in nursing gliomas patients after the surgical ablation aided by photodynamic therapy （PDT）. Methods Altogether 128 patients with malignant glioma, including 69 male patients and 59 female patients, were divided into two groups： the treatment group and control group. While the 70 patients in the treatment group being given PDT-aided surgical ablation, the 58 patients in the control group were dealt solely with the surgery. The patients in the treatment group received a full-course nursing before, during and after the surgery in addition to comprehensive nursing such as conventional and psychological nursing as well as health instructions. Results Neither photosensitive skin reaction nor other adverse reactions were found in the treatment group. While the 1-year and 2-year survival rates of the treatment group being 72. 9% and 45.7% respectively, those of the control group were 60. 0% and 24. 0%, indicating a statistically significant difference （ P 〈 0. 05）. Conclusions No photosensitive skin reaction or other adverse, reactions were found in nursing the patients received PDT-aided surgical ablation. All of them overcame brain edema period successfully, and the curative effect was good.

关 键 词：恶性胶质瘤 光动力疗法 护理 

分 类 号：R473.73[医药卫生—护理学]