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目的探讨全方位护理在鼻咽癌放疗所致口腔黏膜炎患者中的应用价值。方法 92例鼻咽癌并行放射治疗的患者,根据入院时间分为对照组(给予常规口腔护理)和观察组(给予全方位护理),各46例。比较两组护理效果。结果观察组放疗后4、7周时口腔炎严重程度低于对照组(P<0.05);观察组出现口腔炎的平均时间为放疗后(5.2±1.4)周,长于对照组的(4.5±1.6)周(P<0.05);观察组放疗结束后2、3周口腔炎愈合情况优于对照组(P<0.05);观察组平均愈合时间为(1.8±0.6)周,短于对照组的(2.1±0.8)周(P<0.05)。结论全方位护理能有效减轻放疗对口腔黏膜的损伤,且有助于已损伤黏膜的愈合,值得临床推广。
Objective To investigate the value of omni-directional nursing in patients with oral mucositis caused by radiotherapy of nasopharyngeal carcinoma. Methods 92 patients with nasopharyngeal carcinoma concurrent radiotherapy were divided into control group (given conventional oral care) and observation group (given omnibearing nursing) according to the time of admission, each of 46 patients. Compare the two groups of nursing effects. Results The severity of stomatitis in the observation group was lower than that in the control group 4 and 7 weeks after radiotherapy (P <0.05). The average duration of stomatitis in the observation group was (5.2 ± 1.4) weeks after radiotherapy, which was longer than that in the control group (4.5 ± 1.6 ) Weeks (P <0.05). The healing of stomatitis in the observation group was better than that in the control group at 2 and 3 weeks after the end of radiotherapy (P <0.05). The mean healing time in the observation group was (1.8 ± 0.6) weeks shorter than that of the control group 2.1 ± 0.8) weeks (P <0.05). Conclusion All-round nursing can effectively reduce the damage to oral mucosa caused by radiotherapy and is helpful to the healing of damaged mucosa, which deserves clinical promotion.