宫颈癌放疗患者阴道冲洗装置的制作与应用

Development and application of vaginal douche in patients with cervical cancer receiving radiotherapy

目的探讨改良阴道冲洗装置预防宫颈癌患者放疗后并发症的效果。方法将100例接受放疗的宫颈癌患者分为观察组和对照组各50例。观察组采用改良阴道冲洗装置进行冲洗；对照组采用常规阴道冲洗方法进行冲洗。比较两组患者阴道清洁度及放疗并发症，以评价应用效果。结果两组患者阴道清洁度比较，差异有统计学意义（P〈0．01）。观察组放射治疗后阴道炎、阴道狭窄的发生率分别为4％、2％，分别低于对照组的22％、16％，差异均有统计学意义（X^2值分别为9．890、5．132；P〈0．05）。结论改良阴道冲洗装置在宫颈癌放疗患者阴道冲洗中效果显著，可明显降低患者放疗后并发症的发生率。

Objective To explore the effects of modified vaginal douche for preventing radiotherapy complications in patients with cervical cancer receiving radiotherapy. Methods Totally 100 patients with cervical cancer receiving radiotherapy were recruited and divided into the experimental group （n=50）and the control group （n=50）. The experimental group received vaginal irrigation with modified vaginal douche. The control group received conventional vaginal irrigation. The degree of vaginal cleanliness and the incidence rate of radiotherapy complications were compared between the control group and the experimental group. Results There was a significant difference between the two groups on the degree of vaginal cleanliness （P 〈 0.01）. The incidence of vaginitis and vaginal stenosis in the experimental group was 4% and 2%, which was lower than those in the control group （22%, 16%）, and the differences were statistically significant （X 2=9.890, 5.132; P 〈 0.05）. Conclusions Compared with traditional vaginal douche, modified vaginal douche is more effective in patients with cervical cancer receiving radiotherapy, and can significantly reduce the incidence of radiotherapy complications.