不同化疗药物用药模式治疗老年急性髓性白血病临床护理研究

Clinical nursing research on the treatment of elderly patients with acute myeloid leukemia with different chemotherapeutic drugs

目的:探讨不同化疗方案治疗老年急性髓性白血病时的临床护理要点。方法:选择我院在2014年1月—2015年12月期间收治的急性髓性白血病老年患者60例,根据化疗方案不同分为阿糖胞苷,阿克拉霉素联用粒细胞集落刺激因子(CAG)方案组和司莫司汀,艾诺宁加阿糖胞苷(MIA)方案组,各30例,在治疗过程中做好患者护理工作,比较两组患者治疗缓解率和不良反应发生情况。结果:CAG组患者治疗总有效率显著高于MIA组(86.67%VS 63.34%,P<0.05),两组患者主要不良反应发生情况比较无显著差异(P>0.05)。结论:CAG方案治疗老年MIA效果更佳,针对不同的不良反应实施良好护理是化疗成功的基础。

Objective: To explore the nursing points of different chemotherapy regimens in the treatment of elderly patients with acute myeloidleukemia. Methods: 60 elderly patients with acute myeloid leukemia who were admitted to our hospital from January 2014 to December 2015 weredivided into CAG group and MIA group according to the different chemotherapy regimens, each of the 30 cases. Do a good job in the treatmentof patients with nursing. Comparison of two groups of patients in the treatment of remission rate and the incidence of adverse reactions wasperformed. Results: The total effective rate of patients in group CAG was significantly higher than that in group MIA (86.67% vs 63.34%, P<0.05).There was no significant difference in the incidence of major side effects between the two groups (P>0.05). Conclusion: CAG regimen in thetreatment of elderly MIA effect is better. And implementation of good nursing to deal with different adverse reactions is the basis of the success ofchemotherapy.