鲁丽娟+陈月梅

【摘要】 目的：研究分析三維适形放疗治疗食管癌的应用与护理方式。方法：选取笔者所在医院2014年5月-2016年5月食管癌患者124例分为两组。所有患者采用三维适形放疗治疗，其中常规组应用常规护理方式；优质组采用优质护理方式。比较两组患者食管癌治疗总有效率；护理前后负性情绪、生存状况、KPS评分；放射性食管炎、放射性皮炎等放疗并发症发生率。结果：优质组患者食管癌治疗总有效率显著高于常规组，差异有统计学意义（P<0.05）；护理前，两组患者负性情绪、生存状况、KPS评分比较，差异无统计学意义（P>0.05）。优质组护理后负性情绪、生存状况、KPS评分显著优于常规组，差异有统计学意义（P<0.05）；优质组放射性食管炎、放射性皮炎等放疗并发症发生率显著比常规组低，差异有统计学意义（P<0.05）。结论：三维适形放疗治疗食管癌应用效果确切，辅以优质护理，可减轻患者负性情绪，减少放疗并发症的发生，促进患者健康水平和生活质量的提高，值得推广。

【关键词】 三维适形放疗； 食管癌； 护理方式

doi：10.14033/j.cnki.cfmr.2017.15.029 文献标识码 B 文章编号 1674-6805（2017）15-0053-02

Application of Three-dimensional Conformal Radiotherapy for Esophageal Cancer and Nursing Research/LU Li-juan，CHEN Yue-mei.//Chinese and Foreign Medical Research，2017，15（15）：53-54

【Abstract】 Objective：To study the application and nursing of three-dimensional conformal radiotherapy for esophageal carcinoma.Method：124 patients with esophageal cancer in our hospital from May 2014 to May 2016 were selected and divided into two groups.All patients were treated with three-dimensional conformal radiotherapy，in which the routine group was treated with conventional nursing and the high quality group was treated with high quality nursing.The total effective rate of esophageal cancer was compared between the two groups.The negative emotion，survival condition，KPS score were compared before and after nursing.The incidence of complications including radiotherapy esophagitis and radiation dermatitis were compared.Result：The total effective rate of esophageal cancer in the high quality group was significantly higher than that in the conventional group，the difference was statistically significant（P<0.05）.The negative emotion，survival condition and KPS score of the patients in the two groups were not significantly different before nursing（P>0.05）.After high quality nursing，negative emotion，survival status，KPS score in the high quality group were significantly better than those in the conventional group（P<0.05）.The radiation esophagitis，radiation dermatitis and other radiotherapy complications of the high quality group were significantly lower than those in the conventional group（P<0.05）.Conclusion：Three-dimensional conformal radiotherapy for esophageal cancer has good application effect，with good care，can alleviate the negative emotions of patients，reduce the radiotherapy complications，promote patients health and improve the quality of life.It is worthy of promotion.

【Key words】 Three-dimensional conformal radiotherapy； Esophageal cancer； Nursing methods

First-authors address：Xianning Center Hospital，Xianning 437100，China

食管癌是临床常见恶性肿瘤，放疗是食管癌治疗的有效手段，但在放疗期间容易出现放射性炎症、皮炎等不良反应，给患者带来身心痛苦，影响其生活质量的提高，甚至导致患者不得不中断治疗，影响治疗效果[1-2]。本研究就三维适形放疗治疗食管癌的应用与护理方式进行分析，报道如下。

1 资料与方法

1.1 一般资料

选取笔者所在医院2014年5月-2016年5月食管癌患者124例进行分组。所有患者经病理学检查确诊。除外精神异常、意识障碍和无法坚持完成放疗疗程的患者，所有患者知情同意本次研究。常规组食管癌患者62例，男40例，女22例；年龄50～81岁，平均（65.73±10.28）岁；鳞癌54例，腺癌8例。优质组食管癌患者62例，男39例，女23例；年龄49～81岁，平均（65.92±10.13）岁；鳞癌53例，腺癌9例。两组患者一般资料比较，差异无统计学意义（P>0.05），有可比性。

1.2 方法