鼻咽癌调强放疗患者放疗期间症状及心理调查分析

Analysis of psychology and symptom for patients of nasopharyngeal carcinoma during IMRT

目的:对鼻咽癌患者普通放疗和调强放疗期间的放疗反应及其心理状态进行调查和对比。方法:回顾调查分析我科鼻咽癌患者普通放疗与调强放疗(各25例)在放疗期间出现的放疗反应以及心理特征。结果:普通放疗和调强放疗在放疗期间大部分患者出现口干、急性口腔黏膜反应、疼痛症状,部分患者会出现厌食、失眠、纳差等症状,两种治疗方法症状程度差异显著。结论:相对普通放疗,调强放疗反应较轻、出现时间较晚,患者从心理也更容易接受。从症状和心理的角度,调强放疗较普通放疗有较大的优越性。

Objective：To study psychological state and symptom of the patients with nasopharyngeal carcinoma during IMRT （intensity modulated radiotherapy）. Methods： Reviewed questionnaire and parallel analysis of psychological state and symptom were performed in a total of 50 patients of nasopharyngeal carcinoma using IMRT（ 25 eases） compared with conventional radiotherapy （25 cases）. Results： Parotid （xerostumia） and acute oral mueosa, ache appeared in most patients during radiotherapy. Anorexia and insomnia appeared in part patients. There was a significant difference in the psychological state and symptom of the patients with nasopharyngeal carcinoma during IMRT and conventional radiotherapy. Conclusion： Compared with conventional radiotherapy, radiation reactions and radiation toxic reactions of the patients with nasopharyngeal carcinoma during IMRT is less. Patients are more likely to adhere IMRT treatment psychologically. The results of IMRT treatment were obviously better than those by the conventional radiotherapy in psychological state and symptom of the patients with nasopharyngeal carcinoma.