恶性肿瘤病人大剂量化疗时口腔炎的量化评估研究

A study on quantizing evaluation on stomatitis of malignant tumor patients undergoing large dose of chemotherapy

[目的]采用口腔量化表对恶性肿瘤病人大剂量化疗前后口腔感染的状态进行评估,并探讨肿瘤化疗病人口腔感染的诱发因素及其护理对策。[方法]将300例恶性肿瘤行大剂量化疗病人随机分为干预组及对照组,干预组病人采用口腔评估表进行评估,根据得分情况分高危、一般、正常并给予相应的干预,对照组病人采用常规护理方法。[结果]干预组发生口腔感染率为24%,对照组为46%,两组口腔感染率比较有统计学意义(χ2=9.94,P<0.01);干预组口腔感染病人的治疗效果优于对照组。[结论]采用量化指标评估肿瘤化疗病人的口腔状态并给予针对性护理,其口腔炎发生率低于传统的经验性护理。

Objective： To evaluate the oral infection of malignant tumor patients undergoing large dose of chemotherapy by adopting oral quantizing scale, and to probe into both the inducing factors and nursing strategies of oral infection of tumor patients. Methods： A total of 300 malignant tumor patients undergoing large dose of chemotherapy were divided into intervention and control group randomly. Patients of intervention group were evaluated by adopting oral quantizing scale and then were further divided into high risk cases, common cases and normal cases. However, patients of control group were adopted routine nursing methods. Results： The oral infection rate of intervention group and control group cases were 24 % and 46 % respectively. There was statistical significance in terms of oral infection rate between the two groups （ X2 = 9, 94, P〈 0.01）. The curative effect of oral infection in intervention group was better than that of control group. Conclusion： The clinical value of adopting quantizing indexes to evaluate oral condition of tumor patients undergoing chemotherapy for nursing care of cancer patients complicated with stomatitis after chemotherapy is more important than that of traditional and empirical nursing methods.