综合护理对接受放疗的鼻咽癌患者放射性龋齿发病率的影响  

The influence of comprehensive nursing care on the incidence of radioacti ve caries in nasopharyngeal carcinoma patients receiving radiotherapy

作　　者：黄素平[1] 贾丽华 Huang Suping;Jia Lihua(Department of Stomatology,Zhongshan People’s Hospital,Zhongshan 528400,China)

机构地区：[1]中山市人民医院口腔分院,广东中山528400

出　　处：《当代医药论丛》2020年第12期233-235,共3页

摘　　要：目的:探讨对接受放疗的鼻咽癌患者进行综合护理的效果及对其放射性龋齿发病率的影响。方法:将2014年2月至2017年2月期间在中山市人民医院接受放疗的62例鼻咽癌患者作为研究对象。将这62例患者随机分为对照组和试验组,每组各有31例患者。对两组患者均进行放疗。在此期间,对对照组患者进行常规护理,对试验组患者进行综合护理。然后,对比两组患者放射性龋齿的总发病率、平均每年磨牙区牙冠的龋失补牙面数(DMFS)、其中每年磨牙区牙冠新发龋失补牙的患者占比及定期对磨牙区牙冠进行复查的患者占比。结果:接受治护后第3年,与对照组患者相比,试验组患者放射性龋齿的总发病率更低,其平均每年磨牙区牙冠的DMFS更少,差异具有统计学意义(P<0.05)。接受治护后第3年,与对照组患者相比,试验组患者中磨牙区牙冠新发龋失补牙的患者占比更低,其中定期对磨牙区牙冠进行复查的患者占比更高,差异具有统计学意义(P<0.05)。结论:对接受放疗的鼻咽癌患者进行综合护理可有效地降低其放射性龋齿的发病率,并能促使其定期对磨牙区牙冠进行复查。Objective:To explore the effect of comprehensive nursing care for nasopharyngeal carcinoma patients receiving radiotherapy and its influence on the incidence of radioactive caries.Methods:A total of 62 nasopharyngeal carcinoma patients receiving radiotherapy in Zhongshan People’s Hospital from February 2014 to February 2017 were studied.The 62 patients were randomly divided into a control group and a trial group,with 31 patients in each group.Both groups were treated with radiotherapy.During this period,routine care was given to patients in the control group and comprehensive care was given to patients in the experimental group.Then,the total incidence of radioactive caries in the two groups was compared,the average number of crowns lost and filled in molar area(DMFS)per year,the proportion of new crowns lost and filled in molar area every year,and the proportion of the regular review of crowns in molar area.Results:In the third year after treatment,compared with the control group,the total incidence of radioactive caries in the experimental group was lower,and the average annual crown DMFS in the molar area was less,the difference was statistically significant(P<0.05).In the third year after treatment and care,compared with the control group,the proportion of patients in the experimental group with new crown caries loss and filling in molar area was lower,and the proportion of patients who regularly reviewed the crown in molar area was higher,with statistically significant difference(P<0.05).Conclusion:Comprehensive nursing for nasopharyngeal carcinoma patients receiving radiotherapy can effectively reduce the incidence of radioactive caries,and can prompt them to review the molar crown regularly.

关 键 词：鼻咽癌 放射性龋齿 综合护理 发病率 

分 类 号：R473[医药卫生—护理学]