多媒体信息技术在头颈部恶性肿瘤精确放疗中的应用  

Application of multimedia information technology on precision radiotherapy for patients with head and neck malignant tumors

作　　者：惠华[1] 王强[1] 崔连环 张涛[1] 王敏[1] 耿冲[1] 杜傲男[1] 孙建伟 HUI Hua;WANG Qiang;CUI Lianhuan;ZHANG Tao;WANG Min;GENG Chong;DU Aonan;SUN Jianwei(Xuzhou Cancer Hospital,Xuzhou 221005 China)

机构地区：[1]徐州市肿瘤医院,江苏徐州221005

出　　处：《中国辐射卫生》2022年第2期239-244,共6页Chinese Journal of Radiological Health

基　　金：江苏省六大高峰人才资助课题(YY-156)。

摘　　要：目的探讨多媒体信息技术对头颈部恶性肿瘤(head and neck malignant tumors,HNT)精确放疗的影响。方法选取2016—2019年HNT患者96例,随机分为实验组A组和对照组B组,同一固定体位方法、治疗医师及技师,分别应用多媒体信息技术、常规方法,施行医学科普、个体化教育、医患沟通后放疗定位、摆位。调查医疗依从性、观察放疗反应、分析摆位误差、记录占机时间。结果依从性A组96.5%>B组73.8%,差异有统计学意义(P<0.05);皮肤急性放射反应A组<B组,差异有统计学意义(P<0.05)。三维绝对摆位误差:A组(0.69±0.29)mm、(0.97±0.69)mm、(0.79±0.47)mm<B组(1.39±0.81)mm、(1.87±1.19)mm、(2.50±0.99)mm,差异有统计学意义(P<0.05);三维传统摆位误差:A组(0.73±0.39)mm、(0.51±0.69)mm、(0.74±0.17)mm<B组(1.32±0.76)mm、(1.89±1.21)mm、(1.37±0.57)mm,差异有统计学意义(P<0.05)。定位占机时间A组(145.15±28.45)s<B组(240.38±50.45)s,差异有统计学意义(P<0.05);摆位占机时间A组(115.15±18.45)s<B组(173.38±24.45)s,差异有统计学意义(P<0.05)。结论应用多媒体信息技术对HNT精确放疗患者施行医学科普、个体化教育、医患沟通,可提高患者依从性,减轻急性放射反应,降低摆位误差,缩短定、摆位占机时间。Objective To investigate the effects of multimedia information technologies on precision radiotherapy of head and neck malignant tumors(HNT).Methods A total of 96 patients with HNT recruited from 2016 to 2019 were randomly assignedto group A and group B with the same planning methodand therapists/technicians.Conventional and multimedia information technologies were respectively used in group A and group B for medical science popularization,individualized education,and doctor-patient communication before radiotherapy planning and positioning.Medical compliance,radiotherapy responses,setup errors,and machine occupancy time were investigated.Results Medical compliance was significantly higher(P<0.05)in group A(96.5%)than in group B(73.8%).Skin acute radiation reaction was significantly lower(P<0.05)in group A than in group B.Three-dimensional absolute setup errors were 0.69±0.29 mm,0.97±0.69 mm,and 0.79±0.47 mm in group A,which were significantly lower than 1.39±0.81 mm,1.87±1.19 mm,and 2.50±0.99 mm in group B(P<0.05).Traditional three-dimensional setup errors were 0.73±0.39 mm,0.51±0.69 mm,and 0.74±0.17 mm in group A,which were significantly lower than 1.32±0.76 mm,1.89±1.21 mm,and 1.37±0.57 mm in group B(P<0.05).Planning time was 145.15±28.45 sin group A,which was significantly lower than 240.38±50.45 sin group B(P<0.05).Positioning time was 115.15±18.45 s in group A,which was significantly lower than 173.38±24.45 sin group B(P<0.05).Conclusion The application of multimedia information technologies inmedical science popularization,individualized education,and doctor-patient communication forpatients who received precision radiotherapy for HNT can significantly increase patient compliance,alleviate acute radiation reactions,reduce setup errors,and shorten the machine occupancy time of planning and positioning.

关 键 词：多媒体信息技术 肿瘤精确放疗 依从性 急性放射反应 摆位误差 占机时间 

分 类 号：R861[医药卫生—临床医学]