脑胶质瘤术后化疗患者的护理

Nursing of Cerebral Glioma Patients after Chemotherapy

目的总结脑胶质瘤术后患者化疗的不良反应及护理对策。方法回顾性总结2007年4月至2008年12月应用替尼泊苷、司莫司汀和替莫唑胺等行化疗的30例脑胶质瘤术后患者的临床资料,分析化疗过程中的不良反应及护理措施。结果 30例患者原有的高颅压症状消失,癫症状得到控制,精神症状和意识障碍均好转,偏瘫和偏身感觉异常改善。不良反应发生情况:恶心22例,呕吐6例,白细胞下降8例,血小板减少4例,口腔溃疡12例。结论治疗前做好心理护理,治疗过程中密切观察病情、及时处理药物不良反应,治疗结束后做好健康教育,可提高患者的治疗依从性,提高治疗效果。

Objective To summarize the nursing strategies for the adverse reactions in cerebral glioma patients after chemotherapy.Methods From April 2007 through December 2008,the clinical data was analyzed retrospectively in 30 cerebral gliomas patients with chemotherapy using teniposide,semustine and temozolomide,so as to analyze the adverse reactions and nursing strategies during chemotherapy.Results Of the 30 patients,the symptoms of high intracranial pressure disappeared with a better control of seizures symotoms and improvement of psychiatric symptoms and disturbance of consciousness as well as hemiplegia and sensory abnormalities.A series of adverse reactions during chemotherapy were observed：nausea（n=22）,vomiting（n=6）,leukopenia（n=8）,thrombocytopenia（n=4） and oral ulcers（n=12）.Conclusion Good psychological nursing before treatment,close observation during the treatment,timely management of adverse drug reactions and effective health education at the end of treatment,can improve patient compliance,thereby enhancing the therapeutic effects.