恶性胸腹水患者热疗联合腔内化疗的疗效及护理研究

Nursing care and efficacy study for patients with malignant pleural and abdominal effusion treated by perfusion chemotherapy combined with thermotherapy

目的:探讨热疗联合腔内化疗治疗癌症患者恶性胸腹水疗效及护理策略。方法:对已确诊的25例恶性肿瘤引起的胸腹水患者,采取胸腹腔积液引流后行腔内化疗,并联合局部热疗,治疗前进行心理护理及相应准备工作,定期巡视密切观察患者情况,加强引流、热疗及不良反应的护理。结果:25例患者治疗后总有效率为84.0%,生活质量改善率为80.0%,治疗后仅1例浅Ⅱ度烫伤患者,经对症护理后痊愈,无其他严重不良反应发生。结论:热疗联合腔内化疗治疗癌症患者恶性胸腹水效果好,治疗中合理的护理策略、舒适的护理可减少热疗联合化疗不良反应的发生,改善患者生活质量。

Objective： To investigate the effect and nursing care during perfusion chemotherapy combined with thermother- apy in the treatment of patients with malignant pleural and abdominal effusion. Methods： 25 patients with malignant pleu- ral and abdominal effusion were treated by drainage, perfusion chemotherapy and thermotherapy. Psychological care and preparations were taken before treatment, during drainage tients regularly. Results： The total recovery of 25 patients and thermotherapy, attentions were paid to the situation of pa- was 84.0%, and the quality of life improvement rate was 80.0%, only one patient scalded during thermotherapy cure and recovered after symptomatic care. Conclusion： The treatment of perfusion chemotherapy combined with thermotherapy in patients with malignant pleural and abdominal effusion has a sig- nificant effect; the reasonable and cozy care can deeply reduce the incidence of postoperative complication during the treatment, and promote recovery of patients.