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醫(yī)學免費論文:鼻咽癌頸淋巴結轉移灶放療、熱療的觀察及護理
【摘要】 目的：比較放療配合熱療在治療鼻咽癌頸淋巴結轉移灶中的作用。方法：對我科收治的46例有頸部淋巴結轉移癌≥4 cm的鼻咽癌患者，隨機分成兩組，觀察組26例，采用放療+熱療方法治療;對照組20例，采用單純放療方法治療。結果:放療結束時，觀察組、對照組頸部淋巴結全消率分別為61.5%、30.0%，經χ2檢驗，P<0.05，有統(tǒng)計學意義。結論:對頸部較大淋巴結轉移的鼻咽癌患者，放療配合熱療有明顯的互補和增效作用，做好熱療過程的護理，可減少熱療不良反應，增加治療腫瘤的敏感性，以改變患者的生存質量，提高生存率。
【關鍵詞】 鼻咽癌;頸淋巴結;熱療;放射療法;護理
Effect of radiotherapy combined with hyperthermia on cervical lymph node metastasis of nasopharyngeal carcinoma and nursingCHEN Yingsai, CHEN Jiaoyan, WANG Liping, ZHOU Guimei(Department of Radiotherapy, Hainan Provincial People's Hospital Haikou 570311, China)[ABSTRACT] Objective: To investigate the effects of radiotherapy combined with hyperthermia on cervical lymph node metastasis of nasopharyngeal carcinoma and the role of nursing. Methods: Fortysix patients with enlarged cervical lymph node (diameter ≥ 4 cm) due to metastasis of nasopharyngeal carcinoma undergoing treatment were randomly assigned into group A (n=26) and group B(n=20), patients in group A were treated with radiotherapy and hyperthermia, patients in group B were treated with radiotherapy, the patients were received good nursing, and the effects were studied and nursing care was summarized; χ2 test was used for the analysis of qualitative data, and P<0.05 was considered significant. Results: After therapy, the resolution of enlarged cervical lymph nodes in group A and B was 61.5% and 30% respectively, the difference between the two groups was significant (P<0.05). Conclusion: Hyperthermia has marked adjunctive effects on the radiotherapy of cervical lymph node metastasis of nasopharyngeal carcinoma and may enhance the general effect; delicate nursing may reduce adverse reactions of hyperthermia, increase sensitivity of carcinoma to radiotherapy, improve life quality , and enhance survival rate醫(yī).學.全.在.線m.zxtf.net.cn.
[KEY WORDS] Nasopharyngeal carcinoma; Cervical lymph node; Hyperthermia therapy; Nursing
鼻咽癌發(fā)生頸淋巴結移轉很常見，對較大的淋巴結轉移，單純放療效果欠佳，局部配合熱療提高治愈率，腫瘤熱療又稱加溫治療，是治療腫瘤患者的一項新技術，通過腫瘤組織加熱的溫度達到41～43 ℃，并維持30～40 min以上，引起腫瘤細胞生長受阻，凋亡的一種治療方法，有明顯的互補和增效作用[1，2]。現(xiàn)將熱療的護理報道如下。
