利多卡因胶浆在鼻咽癌放疗反应病人留置胃管中的应用

Application of lidocane capsule in detained gastric canal for patients with nasopharyngeal carcinoma developed radiotherapeutic reaction

[目的 ]提高鼻咽癌放疗反应病人留置胃管的成功率 ,确保治疗的连续性。 [方法 ]将 60例鼻咽癌放疗出现口腔黏膜反应致无法进食或进食量极少的病人随机分为两组 ,A组按常规方法置胃管 ,B组在置胃管前先给予心理护理 ,然后含服利多卡因胶浆 ,其余操作同常规法 ,观察置胃管的一次成功率及病人的反应。 [结果 ]A组 15例未能一次置胃管成功 ,其中 3例因置胃管时鼻咽部疼痛加重、黏膜出血而拒绝再次置入 ;B组均一次置胃管成功 ,且病人无明显反应。 [结论 ]鼻咽癌放疗反应病人留置胃管时含服利多卡因胶浆 ,其效果优于常规置胃管法。

Objective:to enhance the achievement of detaining gastric canal for patients with nasopharyngeal cancer developed radiotherapeutic reaction to ensure the therapy continuity.Method:a total of 60 patients with nasopharyngeal carcinoma were divided into group A and group B,who could eat little or no food because of buccal mucosa reaction induced by radiotherapy.The gastric canal were detained as routine for patients in group A,while group B patients were given mental nursing,and taken Lidocaine buccally other detained canal processes were as routine.Then one-time achievement of detaining canal and patients'reaction were observed.Result:there were 15 patients not detained geatric canal one time, and three of them refused to accept it again because of increased pain and mucosa bleeding. However patients were all detained gastric canal at the first time without any obvious uncomfortable. Conclusion:it showed that the method of detained gastric canal as well as taken Lidocaine bucally are more superior to normal detained gastric canal for patients with nasopharyngeal carcinoma developed radiotherapeutic reaction.