120例急性放射性皮炎的预防与护理报道

Report of 120 cases of acute radiation dermatitis prevention and nursing

目的探讨120例急性及亚急性放射性皮炎的预防与护理取得的临床效果。方法选择自2014年6月至2017年12月应用直线加速器放射治疗的患者120例,随机分成对照组、VitB12混合液组和比亚芬组。对照组放疗期间常规护理; VitB12混合液组放疗期间使用VitB12、地塞米松、庆大霉素混合液;比亚芬组放疗期间使用比亚芬。结果 VitB12混合液组和比亚芬组的2级、3级和4级皮肤损伤发生率明显低于对照组。结论预防性护理能有效的预防放射性皮炎的发生,减轻患者痛苦,提高患者满意度及生活质量。

Objective To explore the clinical effects of 120 cases of acute and subacute radiation dermatitis prevention and nursing. Methods One hundred and twenty patients who received linear accelerator radiotherapy from June 2014 to December 2017 were randomly divided into control group,VitB12 mixture group and Biafin group. The control group received routine care during radiotherapy; VitB12 mixture group used vitamin B12,dexamethasone,and gentamycin during radiotherapy; and Biafin group used biafine during radiotherapy. Results The incidence of grade 2,grade 3,and grade 4 skin lesions was significantly lower in the VitB12 mixture group and the Biafin group than in the control group. Conclusion Prophylactic/Preventive nursing can effectively prevent the occurrence of radiation dermatitis,alleviates the suffering of patients,and improves patient satisfaction and quality of life.