宫颈癌放疗并发阴道粘连的临床护理  

Clinical nursing of vaginal adhesions in patients treated with radiotherapy for cervical cancer

作　　者：麦苗青[1] 陈佩芬[1] 冯桂荣[1] 陈郁珊[1] 胡莲英[1] Mai Miaoqing Chen Peifang Feng Guirong Chen Yushan Hu Lianying(Department of Radiation Oncology, Sun Yat-sen University Cancer Center, Guangzhou 510060, China)

机构地区：[1]中山大学肿瘤防治中心放射治疗部,广州510060

出　　处：《中华放射肿瘤学杂志》2017年第10期1162-1164,共3页Chinese Journal of Radiation Oncology

摘　　要：目的 探讨宫颈癌全量放疗阴道粘连预防及处理的护理方法。方法 对2015—2016年接受放疗的80例宫颈癌患者实施家庭式阴道冲洗、阴道局部使用“妇放宝”、感染控制、饮食及性康复指导等护理,观察治疗效果。结果 随访率为92.5%。阴道不良反应发生率为24%,其中1、2、3级不良反应为10、5、3例。1级阴道不良反应未予特殊处理,嘱患者加强阴道冲洗。2、3级阴道不良反应患者每日坚持阴道冲洗和“妇放宝”修复阴道,3个月后阴道粘连消失或好转,未发生阴道粘连可以有规律的性生活,有效提高了患者的生存质量。结论 有效的临床护理可减轻阴道粘连及狭窄发生,提高患者生存质量及增进夫妻感情。Objective To explore the nursing method for the prevention and treatment of vaginal adhesions in patients treated with full-dose radiotherapy for cervical cancer. Methods From 2015 to 2016, 80 cervical cancer patients who received radiotherapy were treated with domestic vaginal washing, vaginal local use of＂Fufangbao＂, infection control, diet and sexual rehabilitation guidance, and so on, and the nursing outcome was evaluated. Results Of the 80 patients, 6 were lost during follow-up, resulting in a follow-up rate of 92.5%. Ten, five, and three patients were found to have grade 1, 2, and 3 vaginal toxicity, respectively. The patients with grade 1 vaginal toxicity were not treated with special treatment and were asked to do more vaginal washing. The patients with grade 2 and 3 vaginal toxicity were treated with daily vaginal washing and＂Fufangbao＂ for repairing the vagina;vaginal adhesions disappeared or improved 3 months later. The patients with no vaginal adhesions had regular sexual intercourse and thus had improved quality of life. Conclusions Effective clinical nursing can reduce the incidence of vaginal adhesions and stenosis, improve patients＇ quality of life, and promote the harmony of family.

关 键 词：宫颈肿瘤/放射疗法 阴道粘连 临床护理 

分 类 号：R473.73[医药卫生—护理学]