肺功能动态监测在肺癌放疗患者呼吸道管理中的应用分析  

Analysis on application of dynamic monitoring for pulmonary function on respiratory tract management for lung cancer patients undergoing radiotherapy

作　　者：邵秋月[1] 谢淑萍[1] 沈佳琴[1] 吴怡[1] 朱大鹏[1] 

机构地区：[1]浙江省肿瘤医院,浙江杭州310022

出　　处：《护理与康复》2017年第2期124-127,共4页Journal of Nursing and Rehabilitation

基　　金：浙江省肿瘤医院青年科研培育基金项目;编号:QN201502

摘　　要：目的探讨肺功能动态监测在肺癌放疗患者呼吸道管理中的应用并提出护理对策。方法对166例肺癌放疗患者在放疗前、放疗15 F、放疗结束分别检测肺功能主要参数,动态评估、观察肺功能的变化趋势。结果患者在放疗期间即出现肺通气功能指标异常,放疗15F肺功能参数中VCmax值增大,放疗结束VCmax值有下降趋势;FEV1/FVC实%预值在放疗15F即开始下降,TLCO在放疗15F下降趋势明显,肺弥散功能减退。放疗15 F时FEV1实%预、TLC实%预指标无明显异常。另外,患者放疗15F时出现中度气流受限例数较放疗前增加44%。结论动态监测患者放疗期间的肺功能可及时发现患者呼吸功能的情况,尽早给予护理干预以改善患者的生活质量。Objective To study the application of dynamic monitoring for pulmonary function on respiratory tract management for lung cancer patients undergoing radiotherapy and nursing strategies. Method Test the main parameters of pulmonary function before radiotherapy, at the 15 th fraction and the end of radiotherapy for 166 patients. Take dynamic monitoring and observe the trend of pulmonary function. Result There are abnormal indicators of pulmonary function during radiotherapy. VCmax value of pulmonary function parameters increases at the 15 th fraction. VCmax value falls at the end of radiotherapy. FEV1/FVC% starts to fall at the 15 th fraction. TLCO decreases obviously at the 15 th fraction, which indicates declined pulmonary diffusion function. FEV1% and TLC% have no obvious change. Cases of moderate airway restriction at the 15 th fraction increases by 44% compare to the beginning of radiotherapy. Conclusion Situation of respiratory function can be observed in time by dynamic monitoring for pulmonary function during radiotherapy. Give patients nursing intervention as early as possible to improve their quality of life.

关 键 词：肺功能 动态监测 肺癌 放疗 呼吸道管理 

分 类 号：R473.56[医药卫生—护理学]