光子治疗在化疗性静脉炎护理中的应用
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摘要
目的探讨光子治疗在化疗性静脉炎护理中应用的优越性及方法。方法将2015年1月～2017年6月本院收治的发生化疗性静脉炎的60例患者随机分为光子治疗组与传统治疗组,每组30例,分别予以光子治疗(红光照射)与传统治疗(外用喜辽妥药膏)1个疗程(5天)后,分别记录各组治愈率,显效率,无效率。对1个疗程效果欠佳者继续第2个疗程,统计并比较两组最终的治疗效果。结果经1个疗程治疗后,光子治疗组的治愈率、显效率及无效率分别为60.0%(18/30)、36.7%(11/30)、3.3%(1/30);传统治疗组分别为26.7%(8/30)、46.7%(14/30)、26.7%(8/30)。经2个疗程后光子治疗组最终治愈率、显效率及无效率分别为76.7%(23/30)、20.0%(6/30)、3.3%(1/30);传统治疗组分别为66.7%(20/30)、26.7%(8/30)、6.7%(2/30)。光子治疗组短期治疗(1个疗程)治愈率明显高于传统治疗组,无效率明显低于传统治疗组,差异有统计学意义(P <0.01),而2个疗程后光子治疗组与传统治疗组的疗效指标均无统计学差异。结论传统方法治疗化疗性静脉炎虽有效,但治疗周期长。而光子治疗治愈速度快,治疗周期短,且具有方便易行,安全,费用低的特点,值得在临床护理中广泛推广。
Objective To explore the advantages and methods of photon therapy in nursing of patients with chemotherapeutic phlebitis. Methods 60 patients with chemotherapeutic phlebitis admitted to our hospital from January 2015 to June 2017 were randomly divided into photon therapy group and traditional treatment group,30 cases in each group.After photon therapy(red light irradiation) and traditional treatment(external Hirudoid ointment) for one course of treatment(5 days),the cure rate,marked efficiency and inefficiency of each group were recorded respectively.The patients with poor effect in one course were continued the second course of treatment,and the final treatment effect between the two groups were compared. Results After one course of treatment, the cure rate, marked efficiency and inefficiency of photon therapy group were 60.0%(18/30),36.7%(11/30),3.3%(1/30),while those of traditional treatment group were 26.7%(8/30),46.7%(14/30) and 26.7%(8/30),respectively.After two courses of treatment,the final cure rate,marked efficiency and inefficiency of photon therapy group were 76.7%(23/30),20.0%(6/30),3.3%(1/30),while those of traditional treatment group were 66.7%(20/30),26.7%(8/30) and 6.7%(2/30),respectively.The short-term cure rate of photon therapy group(one course) was significantly higher than the traditional treatment group,and the inefficiency was significantly lower than the traditional treatment group,the difference was significant(P < 0.01).There was no significant difference between photon therapy group and traditional treatment group after two courses. Conclusion Traditional treatment for chemotherapeutic phlebitis is effective,but the treatment cycle is long.The photon therapy has the characteristics of fast cure speed, short treatment cycle,convenience,safety and low cost.It is worth popularizing widely in clinical nursing.
Objective To explore the advantages and methods of photon therapy in nursing of patients with chemotherapeutic phlebitis. Methods 60 patients with chemotherapeutic phlebitis admitted to our hospital from January 2015 to June 2017 were randomly divided into photon therapy group and traditional treatment group,30 cases in each group.After photon therapy(red light irradiation) and traditional treatment(external Hirudoid ointment) for one course of treatment(5 days),the cure rate,marked efficiency and inefficiency of each group were recorded respectively.The patients with poor effect in one course were continued the second course of treatment,and the final treatment effect between the two groups were compared. Results After one course of treatment, the cure rate, marked efficiency and inefficiency of photon therapy group were 60.0%(18/30),36.7%(11/30),3.3%(1/30),while those of traditional treatment group were 26.7%(8/30),46.7%(14/30) and 26.7%(8/30),respectively.After two courses of treatment,the final cure rate,marked efficiency and inefficiency of photon therapy group were 76.7%(23/30),20.0%(6/30),3.3%(1/30),while those of traditional treatment group were 66.7%(20/30),26.7%(8/30) and 6.7%(2/30),respectively.The short-term cure rate of photon therapy group(one course) was significantly higher than the traditional treatment group,and the inefficiency was significantly lower than the traditional treatment group,the difference was significant(P < 0.01).There was no significant difference between photon therapy group and traditional treatment group after two courses. Conclusion Traditional treatment for chemotherapeutic phlebitis is effective,but the treatment cycle is long.The photon therapy has the characteristics of fast cure speed, short treatment cycle,convenience,safety and low cost.It is worth popularizing widely in clinical nursing.
引文
[1]赵权权,史晓辉,傅传刚,等.直肠癌新辅助放化疗后淋巴结转移危险因素评估及其临床意义[J].中华胃肠外科杂志,2016,19(9):1040-1043.
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[10]李旬,项亚娟,刘迎梅.喜疗妥在静脉炎防治中的研究进展[J].上海护理,2009,9(5):74-76.
[11]刘卫娟,邵霞,温丽云.喜疗妥软膏防治肿瘤患者化疗性静脉炎效果的Meta分析[J].中华全科医学,2012,10(5):810-812.
[12]刘诗琪,刘智平.程庆丰.光子治疗对糖尿病足溃疡临床疗效的影响[J].重庆医学,2016,45(1):91-93.
[13]程书,刘欢,刘清华.Carnation10光子治疗仪联合泛昔洛韦治疗老年带状疱疹的效果观察[J].激光杂志,2016,37(7):147-149.
[14]冯书.文光子治疗类风湿关节炎的临床疗效观察[J].中国临床护理,2016,8(4):299-300.
[15]林珊,陈雅娥,黄小玲.光子治疗仪在治疗浅Ⅱ°烧伤患者中的应用[J].护理实践与研究,2016,13(7):129-130.
[16]Barbosa RI,Marcolino AM,de Jesus Guirro RR,et al.Com parative effects of wavelengths of low-power laser in regener ation of sciatic nerve in rats following crushing lesion[J].Lasersin medical science,2010,25(3):423-430.
[17]李冉,杨心一.光子治疗仪联合粘多糖多磺酸治疗化疗性静脉炎的效果观察[J].激光杂志,2015,36(5):107.
[18]孙永芳,张选奋,杨雪梅.光子治疗促进慢性创面愈合的研究进展[J].甘肃科技,2015,31(12):103-106.
[19]胡海燕,孙佳男,朱立波,等.光子照射直肠癌Miles术后会阴部伤口的疗效观察[J].重庆医学,2016,45(24):3404-3406.
[20]Silveira PCL,Silva LA,Freitas TP,et al.Effects of lowpower laser irradiation(LPLI)at different wavelengths and doses on oxidative stress and fibrogenesis pa rameters in an animal model of wound healing[J].Lasers in medical science,2011,26(1):125-131.
[21]Mancera D,Solarte E,Fierro L,et al.Low power laser and LED irradiation effect on proliferation and differentiation of Wistar rats mesenchymal stem cells[C]//8th Ibero American Optics Meeting/11th Latin American Meeting on Optics,Lasers,and Applications.International Society for Optics and Photonics,2013:8785DY-8785DY-9.
[22]刘美青.优质护理预防静脉输液所致静脉炎的效果分析[J].中国当代医药,2017,24(28):177-179.
[2]苏向前,邢加迪.胃癌多学科综合治疗协作组诊疗模式专家共识[J]中国实用外科杂志,2017,37(37):37-38.
[3]谷金玲,谭晓骏,王萍.水胶体敷料治疗化疗性静脉炎的临床观察及护理[J].现代中西医结合杂志,2013,22(18):2036-2037.
[4]帅敏,马利林.光子治疗的研究与临床应用进展[J].中国医学创新2017,14(30):136-140.
[5]卢斌,刘芬芬.芒硝加冰片外敷治疗机械性静脉炎的效果[J].上海护理,2014,14(1):33-35.
[6]刘华,尹长春,李娅,等.地塞米松及水胶体敷料联合光子治疗仪防治PICC置管后机械性静脉炎的效果观察[J].激光杂志,2015,36(10):157-159.
[7]王碧幸,潘珊,罗蔼,等.光子治疗仪联合水胶体敷料防治PICC置管后机械性静脉炎的效果观察[J].临床医学工程,2015,22(3):359-360.
[8]李峥,郭雅.硫酸镁冷湿敷在化疗中的应用[J].川北医学院学报,2011,16(3):99.
[9]沈艳.喜疗妥与50%硫酸镁治疗化疗性静脉炎的疗效对比[J].哈尔滨医药,2011,31(3):175-176.
[10]李旬,项亚娟,刘迎梅.喜疗妥在静脉炎防治中的研究进展[J].上海护理,2009,9(5):74-76.
[11]刘卫娟,邵霞,温丽云.喜疗妥软膏防治肿瘤患者化疗性静脉炎效果的Meta分析[J].中华全科医学,2012,10(5):810-812.
[12]刘诗琪,刘智平.程庆丰.光子治疗对糖尿病足溃疡临床疗效的影响[J].重庆医学,2016,45(1):91-93.
[13]程书,刘欢,刘清华.Carnation10光子治疗仪联合泛昔洛韦治疗老年带状疱疹的效果观察[J].激光杂志,2016,37(7):147-149.
[14]冯书.文光子治疗类风湿关节炎的临床疗效观察[J].中国临床护理,2016,8(4):299-300.
[15]林珊,陈雅娥,黄小玲.光子治疗仪在治疗浅Ⅱ°烧伤患者中的应用[J].护理实践与研究,2016,13(7):129-130.
[16]Barbosa RI,Marcolino AM,de Jesus Guirro RR,et al.Com parative effects of wavelengths of low-power laser in regener ation of sciatic nerve in rats following crushing lesion[J].Lasersin medical science,2010,25(3):423-430.
[17]李冉,杨心一.光子治疗仪联合粘多糖多磺酸治疗化疗性静脉炎的效果观察[J].激光杂志,2015,36(5):107.
[18]孙永芳,张选奋,杨雪梅.光子治疗促进慢性创面愈合的研究进展[J].甘肃科技,2015,31(12):103-106.
[19]胡海燕,孙佳男,朱立波,等.光子照射直肠癌Miles术后会阴部伤口的疗效观察[J].重庆医学,2016,45(24):3404-3406.
[20]Silveira PCL,Silva LA,Freitas TP,et al.Effects of lowpower laser irradiation(LPLI)at different wavelengths and doses on oxidative stress and fibrogenesis pa rameters in an animal model of wound healing[J].Lasers in medical science,2011,26(1):125-131.
[21]Mancera D,Solarte E,Fierro L,et al.Low power laser and LED irradiation effect on proliferation and differentiation of Wistar rats mesenchymal stem cells[C]//8th Ibero American Optics Meeting/11th Latin American Meeting on Optics,Lasers,and Applications.International Society for Optics and Photonics,2013:8785DY-8785DY-9.
[22]刘美青.优质护理预防静脉输液所致静脉炎的效果分析[J].中国当代医药,2017,24(28):177-179.