中药油外涂预防放射性皮炎的疗效评价

Oil of Chinese medicine for preventing radiation dermatitis

目的 探讨肿瘤患者放射性皮炎的预防措施.方法 将85例接受放射治疗的肿瘤患者随机分为观察组（n=43）和对照组（n=42）.观察组每次接受放疗前外涂自制中药油于放疗区皮肤,对照组涂抹湿润烧伤膏,照射后两组均继续用药3天,每天3次,观察放疗性皮炎的发生情况.结果 观察组,放疗性皮炎发生率13.95％,其中Ⅰ级放射性皮炎4例,Ⅱ级放射性皮炎2例,未发生Ⅲ、Ⅳ级放射性皮炎;对照组放射性皮炎发生率38.09％,其中Ⅰ级放射性皮炎7例,Ⅱ级放射性皮炎6例,Ⅲ级放射性皮3例,未发生Ⅳ级放射性皮炎;两组比较差异有统计学意义（P＜0.05）.结论 自制中药油外涂对预防放射性皮炎有一定的效果.

Objective To explore the preventive measures for radiation dermatitis in cancer patients.Methods 85 cancer patients receiving radiation therapy were randomly divided into an observation group （n=43） and a control group （n=42）.Self-made oil of Chinese medicine was smear on the skin of radiotherapy area before the radiotherapy every time in the observation group,while MEBO in the control group.After the radiotherapy,both groups continued the treatment for 3 days,3 times a day.The incidences of radiation dermatitis were observed.Results The incidence of radiation dermatitis was 13.95%,4 cases got grade Ⅰ radiation dermatitis,2 grade Ⅱ,but no grade Ⅲ and Ⅳ in the observaiton group.The incidence of radiation dermatitis 38.09%,7 cases occurred grade Ⅰ radiation dermatitis,6 grade Ⅱ,3 grade Ⅲ,and no grade Ⅳin the control group.There were statistical differences between the two groups（P 〈 0.05）.Conclusion Selfmade oil of Chinese medicine for preventing radiation dermatitis has some effect.