宫颈癌患者放疗期间的饮食指导探究
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摘要
目的:探讨饮食指导对宫颈癌患者放疗副反应的影响。以便制定出更规范全面的饮食计划和饮食健康教育项目。方法:选取2017年1月至2018年9月接受放射治疗的90例宫颈癌患者,采用随机数字表法随机分成对照组和干预组,每组各45例。对照组患者接受常规的饮食健康教育,干预组患者接受由营养专业团队开展的个体化营养饮食指导,比较干预前后对照组和干预组在感染、外阴炎、靶区位移、胃肠道反应、直肠反应发生率的差异。结果:干预组在感染、外阴炎、靶区位移、胃肠反应、直肠炎反应的发生率明显低于对照组,差异有统计学意义(P<0.05)。结论:饮食指导能降低宫颈癌患者放疗期间感染、外阴炎、靶区位移、胃肠道反应和直肠反应的发生率,改善患者营养状况,值得进一步临床应用和推广。
Objective: To investigate how dietary guidance affect the side effects of radiotherapy in patients with cervical cancer, in order to develop a more standardized and comprehensive diet plan and healthy diet instructions. Methods: In total, 90 patients with cervical cancer received radiotherapy from January 2017 to September 2018 were randomly divided into two groups: the control group(n=45) and the intervention group(n=45). The patients in the control group received routine dietary health education, and the patients in the intervention group received individualized nutritional diet guidance carried out by the professional nutrition team. Before and after the intervention, the two groups were compared in incidence of infection, vulvitis, target area displacement, gastrointestinal reaction and rectal reaction. Results: The above-mentioned indicators in the intervention group were significantly lower than those in the control group(P<0.05). Conclusion: Dietary guidance can reduce incidence of infection, vulvitis, target area displacement, gastrointestinal reaction and rectal reaction in patients with cervical cancer during radiotherapy, and improve the nutritional status of patients. It is worthy of further clinical application and promotion.
Objective: To investigate how dietary guidance affect the side effects of radiotherapy in patients with cervical cancer, in order to develop a more standardized and comprehensive diet plan and healthy diet instructions. Methods: In total, 90 patients with cervical cancer received radiotherapy from January 2017 to September 2018 were randomly divided into two groups: the control group(n=45) and the intervention group(n=45). The patients in the control group received routine dietary health education, and the patients in the intervention group received individualized nutritional diet guidance carried out by the professional nutrition team. Before and after the intervention, the two groups were compared in incidence of infection, vulvitis, target area displacement, gastrointestinal reaction and rectal reaction. Results: The above-mentioned indicators in the intervention group were significantly lower than those in the control group(P<0.05). Conclusion: Dietary guidance can reduce incidence of infection, vulvitis, target area displacement, gastrointestinal reaction and rectal reaction in patients with cervical cancer during radiotherapy, and improve the nutritional status of patients. It is worthy of further clinical application and promotion.
引文
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[2] Taylor A, Powell MEB. An assessment of interfractional uterine and cervical motion:implications for radiotherapy target volume definition in gynaecological cancer[J]. Radiother Oncol, 2008,88(2):250-257.
[3] Chan P, Dinniwell R, Haider MA, et al. Inter- and intrafractional tumor and organ movement in patients with cervical cancer undergoing radiotherapy: a cinematic-MRI point-of-interest study[J].Int J Radiat Oncol Biol Phys,2008,70(5):1507-1515
[4] 王立新,俞芳,吴贵恺,等.全方位优质护理干预对肝硬化患者肝功能和生活质量的影响[J].世界华人消化杂志,2015, 23(10):1637-1643.
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[7] 武彦佼,薛晓英,刘春梅,李彦格.宫颈癌放疗的研究进展[J].河北医药,2014, 36(21):3325-3328.
[8] 庞皓文,邱杰,孙帅,等.宫颈癌调强放疗中直肠体积与位置变化及对吸收剂量影响.中华放射肿瘤学杂志,2012,21(3):258-261.
[9] 张宗恺, 王雅棣, 张富利, 等.宫颈癌HT中膀胱和直肠充盈状态对其受量影响[J].中华放射肿瘤学杂志,2018 ,27(5):513-516.
[10] 殷蔚伯,谷铣之.肿瘤放射治疗学[M].北京:中国协和医科大学出版社,2003:924.
[11] Colasanto JM, Prasad P, Nash MA, et al. Nutritional support of patients undergoing radiation therapy for head and neck cancer [J]. Oncology, 2005, 19(3):371-379.
[12] Harila MJ, Salo J, Lanning M, et al. High health-related quality of life among long-term survivors of childhood acute lymphoblastic leukemia [J]. Pediatr Blood Cancer, 2010, 55(2):331-336.
[13] Mariette C, De Botton ML, Piessen G. Surgery in esophageal and gastric cancer patients:what is the role for nutrition support in your daily practice [J]. Ann Surg Oncol, 2012, 19(7):2128-2134.
[14] Chart P,Dinniwe HR,Haider MA,et al.Inter- and intrafractional tumor and organ movement in patients with cervical cancer undergoing radiotherapy: a cinematic-MRI point-of-interest study [J]. Int J Radiat Oncol Biol Phys, 2008, 70(5): 1507-1515.
[15] Hartmuller VW, Desmond SM. Professional and patient perspectives on nutrition needs of patients with cancer [J]. Oncol Nurs Forum, 2004, 31(5):989-996.
[2] Taylor A, Powell MEB. An assessment of interfractional uterine and cervical motion:implications for radiotherapy target volume definition in gynaecological cancer[J]. Radiother Oncol, 2008,88(2):250-257.
[3] Chan P, Dinniwell R, Haider MA, et al. Inter- and intrafractional tumor and organ movement in patients with cervical cancer undergoing radiotherapy: a cinematic-MRI point-of-interest study[J].Int J Radiat Oncol Biol Phys,2008,70(5):1507-1515
[4] 王立新,俞芳,吴贵恺,等.全方位优质护理干预对肝硬化患者肝功能和生活质量的影响[J].世界华人消化杂志,2015, 23(10):1637-1643.
[5] 杨苏云,谢鸿恩,李梅.晚期肝硬化护理体会[J].实用医技杂志,2005,5(12):192-193.
[6] 袁长吉,潘振宇,丁丽娟.肿瘤营养学[M].北京:人民卫生出版社,2012:488.
[7] 武彦佼,薛晓英,刘春梅,李彦格.宫颈癌放疗的研究进展[J].河北医药,2014, 36(21):3325-3328.
[8] 庞皓文,邱杰,孙帅,等.宫颈癌调强放疗中直肠体积与位置变化及对吸收剂量影响.中华放射肿瘤学杂志,2012,21(3):258-261.
[9] 张宗恺, 王雅棣, 张富利, 等.宫颈癌HT中膀胱和直肠充盈状态对其受量影响[J].中华放射肿瘤学杂志,2018 ,27(5):513-516.
[10] 殷蔚伯,谷铣之.肿瘤放射治疗学[M].北京:中国协和医科大学出版社,2003:924.
[11] Colasanto JM, Prasad P, Nash MA, et al. Nutritional support of patients undergoing radiation therapy for head and neck cancer [J]. Oncology, 2005, 19(3):371-379.
[12] Harila MJ, Salo J, Lanning M, et al. High health-related quality of life among long-term survivors of childhood acute lymphoblastic leukemia [J]. Pediatr Blood Cancer, 2010, 55(2):331-336.
[13] Mariette C, De Botton ML, Piessen G. Surgery in esophageal and gastric cancer patients:what is the role for nutrition support in your daily practice [J]. Ann Surg Oncol, 2012, 19(7):2128-2134.
[14] Chart P,Dinniwe HR,Haider MA,et al.Inter- and intrafractional tumor and organ movement in patients with cervical cancer undergoing radiotherapy: a cinematic-MRI point-of-interest study [J]. Int J Radiat Oncol Biol Phys, 2008, 70(5): 1507-1515.
[15] Hartmuller VW, Desmond SM. Professional and patient perspectives on nutrition needs of patients with cancer [J]. Oncol Nurs Forum, 2004, 31(5):989-996.