盐酸拓扑替康区域灌注治疗宫颈癌的护理

Nursing care of cervicalcarcinoma patients treated via regional intra arterial infusion of topotecan hydrochloride chemotherapy

目的总结宫颈癌患者腹壁下动脉插管行区域灌注化疗药治疗宫颈癌的护理措施效果,预防和减少不良事件及化疗并发症的发生。方法对我科2007年11月至2010年11月,49例腹壁下动脉插管患者行盐酸拓扑替康区域灌注治疗的护理进行回顾性分析。结果 49例宫颈癌患者全部完成1～3疗程动脉化疗,发生骨髓Ⅰ度抑制31例,Ⅱ度抑12例,Ⅲ度抑制2例,严重胃肠道反应5例,未发生一例导管不良事件。结论加强对患者的健康教育,提高护士的专业知识,对患者的病情变化做到早发现,早处理是使病人顺利完成治疗的关键。

Objective To summarize the effects of nursing measures on patients with cervical cancer, who received topotecan hydrochloride regional infusion treatment via arteria epigastrica inferior intubation process, so as to prevent and decrease the adverse events and chemotherapy complications. Method The retrospective study was carried out on the nursing care data of 49 cervical patients treated via topotecan hydrochloride regional intra arterial process from November, 2007 to November, 2010. Results All the 49 cases received 1-3 artery chemotherapy courses. There were 31 cases of I degree myelosuppression, 12 cases of II degree myelosuppression, 2 cases of III degree myelosuppression , 5 cases of serious gastrointestinal reaction. No adverse event has been recorded. Conclusion Such nursing measures played an important role in the entire treatment of patients with cervical cancer as strengthening health education among patients, improving professional knowledge of nurses, and detecting and dealing with the disease changes as earlier as possible.