ALA-PDT联合高频电灼治疗基底细胞癌的疗效观察及护理  

Curative effect and nursing care of ALA-PDT combined with high-frequency electrofulguration for basal cell carcinoma

作　　者：颜柳英[1] 廖凤艳[1] 史毓杰[1] 

机构地区：[1]广州医科大学附属第二医院,广州510260

出　　处：《国际医药卫生导报》2014年第16期2555-2558,共4页International Medicine and Health Guidance News

摘　　要：目的 探讨5-氨基酮戊酸光动力疗法（ALA-PDT）结合高频电灼治疗基底细胞癌的疗效及护理体会.方法 对40例基底细胞癌患者,根据个体的皮损状况给予ALA-PDT联合高频电灼治疗,同时给予良好的护理及指导,对完全缓解的病例进行为期6个月的随访.结果 经过5～15次的治疗和良好的护理后,完全缓解31例（77.5％）,部分缓解4例（10.0％）,无效5例（12.5％）,总有效率为87.5％;美容效果满意度评价中,满意29例（72.5％）、一般满意4例（10.0％）、不满意7例（17.5％）;31例完全缓解的患者随访6个月,有4例（12.9％）复发;所有病例均未出现感染、创口愈合不良.结论 ALA-PDT结合高频电灼治疗对基底细胞癌疗效优越,结合良好的护理措施,可以提高治疗效果,增加患者对治疗的满意度.Objectives To explore the clinical efficacy and nursing care of 5-aminolevulinic acid- photodynamic therapy （ALA-PDT） combined with high-frequency flectrofulguration for basal cell carcinoma （BCC）. Methods 40 patients received ALA-PDT and high-frequency electrofulguration basing on individual lesion. They all received good nursing care and guidance. The completely remitted patients were followed up for 6 months. Resets After 5-15 times of treatment and good nursing care, 31 patients （77.5%） got complete remission, 4 （10.0%） partial remission, and 5 （12.5%） invalid. The total effective rate was 87.5%. 29 patients （72.5%） were satisfied with the cosmetic results, 4 （10.0%） moderately satisfied, and 7 （17.5%） dissatisfied. 6 months followed- up showed that 4 patients（12.9%） recurred in the 31 complete remission patients. No patient got infection. No one＇ s wound healed poorly. Conclusions ALA-PDT combined with high-frequency electrofulguration in the treatment of BCC is quite effective. Coupled with good nursing measures, it can improve the therapeutic effect and increase the patients＇ satisfaction with treatment.

关 键 词：ALA-PDT 高频电灼 基底细胞癌 临床疗效 护理 

分 类 号：R473.73[医药卫生—护理学]