射波刀立体定向放射治疗局部晚期胰腺癌患者的护理  

Nursing care of patients with locally advanced pancreatic cancer treated by CyberKnife

作　　者：楼燕凤[1] 张月荣[1] 丁沭玲[1] 杨玉玲[1] 蒋璐[1] 王玲[2] 

机构地区：[1]南京军区南京总医院放疗科,南京市210002 [2]南京军区南京总医院介入科,南京市210002

出　　处：《中华护理杂志》2014年第5期563-566,共4页Chinese Journal of Nursing

基　　金：南京军区南京总医院课题资助项目(编号:2012057)

摘　　要：总结了68例局部晚期胰腺癌患者进行射波刀立体定向放射分割治疗的护理。做好金标植入护理和射渡刀治疗的健康教育，施行心理护理、放射后不良反应的护理及出院指导。结果所有患者治疗耐受性良好，主要不良反应为恶心、呕吐，出现腹痛3例（为腹腔内出血），金标游离2例，Ⅰ～Ⅱ级放射性肠炎5例，Ⅲ级放射性肠炎1例。患者近期疗效显著，精心的护理和细致的观察是保证治疗成功的关键。This paper reports nursing care of 68 patients with locally advanced pancreatic cancer treated by Cyberknife. The key points of nursing focus on markers implantation care and health education,applying mental care,care for adverse effect and discharge guidance. The most common adverse effect were nausea and vomiting. In the 68 patients,three patients suffered abdominal pain,two patients＇ markers moved,five patients had grade Ⅰ to Ⅱ radiation enteritis,and one patient had grade m radiation enteritis. The Cyberknife radiosurgery treatment for the locally advanced pancreatic cancer has superior short-term efficacy with lower toxicity. The meticulous care and careful observation are important.

关 键 词：胰腺肿瘤 护理 射波刀 

分 类 号：R473.73[医药卫生—护理学]