放射治疗并发放射性皮炎防治的研究进展
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摘要
放射治疗会引起照射部位发生放射性皮炎,这是肿瘤放疗中最常见的并发症之一,严重者可使治疗中断。许多学者分别对放射性皮炎的预防和治疗护理不断进行研究,并将研究成果应用于临床,取得了较好的效果。本文将近年来放射性皮炎的防治进展作一综述,并介绍本院放疗科用于防治放射性皮炎的畲药刺瓜液,它制作简单,成本经济,可预防放射性皮炎,保证了放疗的效果,值得临床推广应用。
Radiation therapy can cause radiation dermatitis at the site of radiation, which is one of the most common complications of tumor radiotherapy, and in severe cases treatment can be interrupted. Many scholars have been continuing to study on the prevention and treatment care of radiation dermatitis, and research results have been applied to the clinical, which achieves good results. This article will summarize the progress of prevention and treatment of radiation dermatitis in recent years, and introduce She medicine thorn melon liquid used in the Department of Radiology in our hospital for the prevention and treatment of radiation dermatitis, which is simple to make and cost-effective, and can prevent radiation dermatitis, ensuring the effect of radiotherapy. It is worthy of clinical promotion and application.
Radiation therapy can cause radiation dermatitis at the site of radiation, which is one of the most common complications of tumor radiotherapy, and in severe cases treatment can be interrupted. Many scholars have been continuing to study on the prevention and treatment care of radiation dermatitis, and research results have been applied to the clinical, which achieves good results. This article will summarize the progress of prevention and treatment of radiation dermatitis in recent years, and introduce She medicine thorn melon liquid used in the Department of Radiology in our hospital for the prevention and treatment of radiation dermatitis, which is simple to make and cost-effective, and can prevent radiation dermatitis, ensuring the effect of radiotherapy. It is worthy of clinical promotion and application.
引文
[1]Zhang Y,Zhang S,Shao X.Topical agent therapy for prevention andtreatment of radiodermatitis:ameta-analysis[J].Support Care Cancer,2013,21(4):1025-1031.
[2]谭亚军,李启明.122例鼻咽癌放射性皮炎的临床治疗分析[J].重庆医学,2010,39(19):2652-2654.
[3]何少丽,温玉玲,陈简兴.参与型护理模式对预防鼻咽癌放射性皮肤损伤的效果观察[J].现代临床护理,2011,10(4):42-43.
[4]Trotti A.Toxicity in head and neck cancer:A review of trends and issues[J].Int J Radiat Oncol Biolphys,2000,47(1):1-12.
[5]刘文岩,李彩玲.乳腺癌手术放疗后发生皮肤反应382例观察与护理[J].齐鲁护理杂志,2012,18(32):48-49.
[6]秦向明,陈蕾.洁悠神用于放射性皮肤损伤的疗效观察[J].实用临床医药杂志,2011,15(12):89.
[7]郝丽霞,赵晓叶.紫草油配合微波热疗防治急性放射性皮肤损伤的临床疗效[J].重庆医学,2013,42(1):19-21.
[8]徐彦,葛劲松,杨巍娜,等.比亚芬与三黄膏对乳腺癌放疗患者放射性皮炎疗效对比[J].中国现代医生,2013,51(25):42-46.
[9]李学华,刘瑛,文梅花,等.冰片滑石散预防鼻咽癌放射性皮炎的临床观察[J].右江医学,2010,38(3):286-287.
[10]赵娟.奥克喷预防乳腺癌术后放射性皮肤损伤临床研究[J].内蒙古医学杂志,2014,46(10):1185-1187.
[11]祖国红,李福生,王厚伟.放射防护膏(Rp)对乳腺癌皮肤放疗反应的疗效观察[J].中国辐射卫生,2014,23(2):187-190.
[12]马虹,程晶,曹如波.比亚芬预防乳腺癌放射性皮炎的疗效观察[J].中华乳腺病杂志,2011,5(1):56-57.
[13]白巧玲,白纪刚,杨志华,等.清得佳凝胶预防乳腺癌放射性皮炎的效果观察[J].现代肿瘤医学,2012,20(4):871-873.
[14]袁芳,夏宏娟,李文军,等.比亚芬乳膏预防放射性皮肤损伤的疗效观察[J].现代医学,2015,43(1):86-88.
[15]梁键,黄露.复方紫草地榆油防治放射性皮炎效果观察[J].内科,2014,9(3):306-307.
[16]朱雪萍,廖惠莲,陈利,等.自制复方芦荟汁预防鼻咽癌患者放射性皮炎的效果观察[J].护理学报,2013,20(8B)67-68.
[17]陶一蕾,邱玲琍.维生素B12混合液治疗放射性皮炎85例[J].九江学院学报,2010,89(2):67-68.
[18]孙永红.贝复济治疗Ⅲ度急性放射性皮炎的疗效观察[J].四川医学,2010,31(12):1850-1851.
[19]曹丽花,严昭仪,周夏晶.龙血竭胶囊治疗急性放射性湿性皮炎疗效观察[J].九江学院学报,2012,(2):79-82.
[20]蒋美平,方伟红,谢淑萍.重组人表皮生长因子凝胶联合复方维生素B12溶液治疗肛周放射性皮炎49例[J].临床医药,2013,22(11):112-113.
[21]董丽华,马杰.完美芦荟胶防治急性放射性皮炎的疗效观察[J].中国民间疗法,2014,22(1):26-27.
[22]朱荧玉,黄冠就,袁娜.两种方法治疗Ⅲ级及以上急性放射性皮炎的效果分析[J].中国医药指南,2014,12(33):9-11.
[23]陆骐鸣.氢化可的松软膏等治疗放射性皮炎的临床疗效[J].现代养生,2014,11(22):124.
[24]张续兰,张红,高欣,等.湿润烧伤膏在放疗患者皮肤损伤中的临床应用[J].甘肃医药,2015,34(4):284-286.
[25]朱连荣,李谦,王晓媛,等.化疗早期应用舒康博G水凝胶敷贴预防静脉炎的效果[J].中华现代护理杂志,2011,17(25):3073-3075.
[26]戚晓霞,蔡蕴敏.片状水凝胶敷料预防急性放射性皮炎的效果观察[J].中国临床医学,2014,21(6):728-729.
[27]李冉冉,宋丽娜,徐娟,等.红外线联合局部氧疗治疗放射湿性皮炎临床观察[J].泰山医学院学报,2013,(3):208-210.
[28]肖冬梅,陈荣.氧气吹气法联合贝负剂治疗Ⅲ度放射性皮肤损伤的疗效观察[J].遵义医学院学报,2008,31(2):155-156.
[29]欧阳恒,杨志清.新编中医皮肤病学[M].北京:人民军医出版社,2000:212-214.
[30]何念武,杨兴斌.黄瓜多糖的体外抗氧化活性[J].食品科学,2011,32(19):70-74.
[31]黄润权.老黄瓜浸出液治疗烧灼伤[J].新中医,1976,(5):18.
[32]谢雅芳.白糖在治疗妇产科伤口感染的应用[J].浙江中医学院学报,1995,19(3):19.
[33]崔小松,李影.白糖外用及湿热敷对Ⅲ期压疮的治疗探讨[J].医药论坛杂志,2012,33(6):120.
[2]谭亚军,李启明.122例鼻咽癌放射性皮炎的临床治疗分析[J].重庆医学,2010,39(19):2652-2654.
[3]何少丽,温玉玲,陈简兴.参与型护理模式对预防鼻咽癌放射性皮肤损伤的效果观察[J].现代临床护理,2011,10(4):42-43.
[4]Trotti A.Toxicity in head and neck cancer:A review of trends and issues[J].Int J Radiat Oncol Biolphys,2000,47(1):1-12.
[5]刘文岩,李彩玲.乳腺癌手术放疗后发生皮肤反应382例观察与护理[J].齐鲁护理杂志,2012,18(32):48-49.
[6]秦向明,陈蕾.洁悠神用于放射性皮肤损伤的疗效观察[J].实用临床医药杂志,2011,15(12):89.
[7]郝丽霞,赵晓叶.紫草油配合微波热疗防治急性放射性皮肤损伤的临床疗效[J].重庆医学,2013,42(1):19-21.
[8]徐彦,葛劲松,杨巍娜,等.比亚芬与三黄膏对乳腺癌放疗患者放射性皮炎疗效对比[J].中国现代医生,2013,51(25):42-46.
[9]李学华,刘瑛,文梅花,等.冰片滑石散预防鼻咽癌放射性皮炎的临床观察[J].右江医学,2010,38(3):286-287.
[10]赵娟.奥克喷预防乳腺癌术后放射性皮肤损伤临床研究[J].内蒙古医学杂志,2014,46(10):1185-1187.
[11]祖国红,李福生,王厚伟.放射防护膏(Rp)对乳腺癌皮肤放疗反应的疗效观察[J].中国辐射卫生,2014,23(2):187-190.
[12]马虹,程晶,曹如波.比亚芬预防乳腺癌放射性皮炎的疗效观察[J].中华乳腺病杂志,2011,5(1):56-57.
[13]白巧玲,白纪刚,杨志华,等.清得佳凝胶预防乳腺癌放射性皮炎的效果观察[J].现代肿瘤医学,2012,20(4):871-873.
[14]袁芳,夏宏娟,李文军,等.比亚芬乳膏预防放射性皮肤损伤的疗效观察[J].现代医学,2015,43(1):86-88.
[15]梁键,黄露.复方紫草地榆油防治放射性皮炎效果观察[J].内科,2014,9(3):306-307.
[16]朱雪萍,廖惠莲,陈利,等.自制复方芦荟汁预防鼻咽癌患者放射性皮炎的效果观察[J].护理学报,2013,20(8B)67-68.
[17]陶一蕾,邱玲琍.维生素B12混合液治疗放射性皮炎85例[J].九江学院学报,2010,89(2):67-68.
[18]孙永红.贝复济治疗Ⅲ度急性放射性皮炎的疗效观察[J].四川医学,2010,31(12):1850-1851.
[19]曹丽花,严昭仪,周夏晶.龙血竭胶囊治疗急性放射性湿性皮炎疗效观察[J].九江学院学报,2012,(2):79-82.
[20]蒋美平,方伟红,谢淑萍.重组人表皮生长因子凝胶联合复方维生素B12溶液治疗肛周放射性皮炎49例[J].临床医药,2013,22(11):112-113.
[21]董丽华,马杰.完美芦荟胶防治急性放射性皮炎的疗效观察[J].中国民间疗法,2014,22(1):26-27.
[22]朱荧玉,黄冠就,袁娜.两种方法治疗Ⅲ级及以上急性放射性皮炎的效果分析[J].中国医药指南,2014,12(33):9-11.
[23]陆骐鸣.氢化可的松软膏等治疗放射性皮炎的临床疗效[J].现代养生,2014,11(22):124.
[24]张续兰,张红,高欣,等.湿润烧伤膏在放疗患者皮肤损伤中的临床应用[J].甘肃医药,2015,34(4):284-286.
[25]朱连荣,李谦,王晓媛,等.化疗早期应用舒康博G水凝胶敷贴预防静脉炎的效果[J].中华现代护理杂志,2011,17(25):3073-3075.
[26]戚晓霞,蔡蕴敏.片状水凝胶敷料预防急性放射性皮炎的效果观察[J].中国临床医学,2014,21(6):728-729.
[27]李冉冉,宋丽娜,徐娟,等.红外线联合局部氧疗治疗放射湿性皮炎临床观察[J].泰山医学院学报,2013,(3):208-210.
[28]肖冬梅,陈荣.氧气吹气法联合贝负剂治疗Ⅲ度放射性皮肤损伤的疗效观察[J].遵义医学院学报,2008,31(2):155-156.
[29]欧阳恒,杨志清.新编中医皮肤病学[M].北京:人民军医出版社,2000:212-214.
[30]何念武,杨兴斌.黄瓜多糖的体外抗氧化活性[J].食品科学,2011,32(19):70-74.
[31]黄润权.老黄瓜浸出液治疗烧灼伤[J].新中医,1976,(5):18.
[32]谢雅芳.白糖在治疗妇产科伤口感染的应用[J].浙江中医学院学报,1995,19(3):19.
[33]崔小松,李影.白糖外用及湿热敷对Ⅲ期压疮的治疗探讨[J].医药论坛杂志,2012,33(6):120.