中医综合护理干预对鼻咽癌放疗患者口咽部真菌感染的效果观察  

Observation on the Effects of Oropharyngeal Fungal Infection in Patients with Nasopharyngeal Carcinoma Radiotherapy by Traditional Chinese Medicine Oriented Nursing Interventions

作　　者：瞿燕平[1] 金燕[1] 

机构地区：[1]湖北医药学院附属人民医院耳鼻喉科,湖北十堰442000

出　　处：《西部中医药》2016年第10期123-125,共3页Western Journal of Traditional Chinese Medicine

摘　　要：目的:观察中医综合护理干预对鼻咽癌放疗患者口咽部真菌感染的效果。方法:将90例患者随机分为观察组和对照组各45例。对照组在放疗开始后给予常规口腔护理;观察组在此基础上给予中医综合护理干预。观察记录2组口腔黏膜的反应情况、口腔真菌感染情况、临床总有效率及护理满意度。结果:护理干预后观察组口腔黏膜反应均得到有效控制,与对照组比较差异有统计学意义(P<0.05)。总有效率观察组为95.6%,对照组为73.3%,2组比较差异有统计学意义(P<0.05)。第4周和第7周时真菌感染率观察组均低于对照组,2组比较差异均有统计学意义(P<0.05)。护理满意率观察组为91.11%,对照组为68.89%,2组比较差异有统计学意义(P<0.05)。结论:中医综合护理干预可减轻鼻咽癌放疗患者口腔黏膜反应或程度,减少真菌感染,显著提高临床总有效率和护理满意度。Objective： To observe the effects of Traditional Chinese Medicine（TCM） oriented nursing interven- tions on oropharyngeal fungal infection in patients with nasopharyngeal carcinoma radiotherapy. Methods： All 90 patients were randomly divided into the observation group and the control group, each 45 cases. The control group was given regular oral care after radiotherapy began; the observation group was given TCM oriented nursing inter- ventions on this treatment. Occurence situation of oral mucosa, situation of oral cavity fungal infection, clinical total effective rate and nursing satisfaction in both groups were observed and recorded. Results： Oral mucosal reaction in the observation group after nursing interventions was controlled effectively, compared with the control group, there was statistical difference （P〈0.05）. The total effective rate in the observation was 95.6%, the control group was 73.3%, there was statistical difference between two groups （P〈0.05）. Fungal infection in the observation group was lower than the control group in the fourth and seventh week, there was statistical difference between two groups（P〈0.05）. Nursing satisfaction rate in the observation group was 91.11%, the control group was 68.89%, there was statistical difference between two groups （P〈 0.05）. Conclusion： TCM oriented nursing interventions can relieve oral mucosal reaction or degree in patients with nasopharyngeal carcinoma radiotherapy, reduce fungal infection and improve clin- ical total effective rate and nursing satisfaction significantly.

关 键 词：鼻咽肿瘤 放射治疗 口腔真菌感染 中医护理 

分 类 号：R739.6[医药卫生—肿瘤]