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目的探讨鼻咽癌患者精确放疗的护理干预的临床疗效。方法 132例鼻咽癌患者,均采用直线加速器(瓦里安或医科达)6MV-X线,调强适形放疗(IMRT),具体剂量为:GTVtumor(原发肿瘤)DT 70 Gy/35 f,CTV1(高危区)DT 60~66 Gy/30~33 f,CTV2(低危区)DT 50 Gy/25 f,实施放射治疗前、中、后系统全面的护理干预。结果 132例患者无间断全部完成放射治疗,所有患者均有不同程度放疗反应。放疗结束后3个月,磁共振成像(MRI)复查肿瘤完全消退85例,肿瘤残留47例。结论系统全面合理的护理干预,可有效减轻放射治疗不良反应,增加患者舒适度,提高放疗依从性,增强治疗信心,顺利完成全程放疗。
Objective To investigate the clinical efficacy of nursing intervention in patients with nasopharyngeal carcinoma (NPC) treated with radiotherapy. Methods 132 patients with nasopharyngeal carcinoma were treated with linear accelerator (Varian or Yeda) 6MV-X and intensity modulated radiotherapy (IMRT) at the dose of 70 Gy / 35 f for GTV tumor (primary tumor) , DT 60 Gy to 66 Gy / 30 to 33 f for CTV1 (high risk area), and DT 50 Gy / 25 f for CTV2 (low risk area). Complete and systematic nursing intervention was performed before, during and after radiotherapy. Results 132 patients completed radiation therapy without interruption, all patients had different degree of radiotherapy response. Three months after the end of radiotherapy, 85 cases of tumor completely disappeared and 47 cases of tumor remained after magnetic resonance imaging (MRI). Conclusion The system of comprehensive and reasonable nursing intervention can effectively reduce the adverse reactions of radiation therapy, increase patient comfort, improve radiation compliance, enhance the confidence of treatment, and successfully complete the whole course of radiotherapy.