微波治疗在晚期胰头癌患者中的应用和护理
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摘要
目的:探讨微波治疗在晚期胰头癌患者中的应用和护理效果。方法:对47例晚期胰头癌手术无法切除的患者使用微波治疗,并给予周密细致的护理干预,观察疗效。结果:疼痛有效缓解者18例,黄疸明显改善者9例,腹胀缓解者7例,不适症状得到明显缓解者12例。结论:微波治疗加上精心的护理干预能够有效缓解晚期胰头癌患者的疼痛及不适。
Objective:To investigate applications and care efficacy in patients with advanced pancreatic head carcinoma.Method:Microwave therapy was employed in forty-seven patients with unresectable advanced pancreatic head carcinoma,and careful nursing intervention was offered. The efficacy was recorded.Result:There were 18 casesachieving pain relief;9 cases achieving significant improvement of jaundice;7 cases achieving bloating relief; 12 cases achieving significant improvement of discomfortsymptoms.Conclusion:Microwave therapy and careful nursing intervention could relieve effectively pain and discomfort in patients with advanced pancreatic head carcinoma.
Objective:To investigate applications and care efficacy in patients with advanced pancreatic head carcinoma.Method:Microwave therapy was employed in forty-seven patients with unresectable advanced pancreatic head carcinoma,and careful nursing intervention was offered. The efficacy was recorded.Result:There were 18 casesachieving pain relief;9 cases achieving significant improvement of jaundice;7 cases achieving bloating relief; 12 cases achieving significant improvement of discomfortsymptoms.Conclusion:Microwave therapy and careful nursing intervention could relieve effectively pain and discomfort in patients with advanced pancreatic head carcinoma.
引文
[1]伍烽,陈文直,白晋,等.高强度聚焦超声治疗原发性肝癌的初步临床研究[J].中国超声影像学杂志,1999,8(4):213-216.
[2]赵新民,经翔.高强度聚焦超声治疗原发性肝癌的初步体会[J].武警医学院学报,2000,9(3):197-198.
[3]龚晓明,孙大为.高强度聚焦超声治疗实体肿瘤[J].中华妇产科杂志,2001,36(11):703-704.
[4]郭庆云,王秀英,商玉萍,等.75例肿瘤患者临床心理活动分析[J].航空航天医药,1995,6(1):56-57.
[5]李红英,王瑞文,杨莉荣,等.长期住院精神分裂症患者吸烟行为分析[J].中国健康心理学杂志,2012,20(6):818.
[6]曹维彬,李萍.心理干预对肿瘤患者情绪状态的影响[J].中国健康心理学杂志,2011,19(12):1433-1434.
[7]许海阳,屈文燕.癌症患者临床心理及护理对策[J].中国医学创新,2013,10(13):67-69.
[8]施姬,李雷雪,林巧,等.快速康复外科理念对胃肠道手术患者护理的意义[J].中国医学创新,2013,10(30):72-74.
[9]张琼,黄强,肖宇.5例胰腺癌术后多种并发症的护理体会[J].华北煤炭医学院学报,2010,12(1):97-98.
[10]严芳,李玲.快速康复外科在胃肠肿瘤手术中的应用[J].中外医学研究,2011,29(9):90-91.
[11]马金良,滕安宝,葛勇胜.手术不能切除的胰腺癌行微波固化治疗并发症的防治[J].安徽医药,2005,9(11):832-833.
[12]Shrikhande S V,Qureshi S S,Rajneesh N,et ai.Panereatic Anastomoses after Pancreati Coduodenectomy,Do We Need Further Studies[J].World J Surg,2005,29(12):1642-1649.
[13]Lobo D N,Memon M A,Allison S P,et al.Evolution of nutional support in acute pancren titis[J].Br J Surg,2000,87(6):695.
[14]金子,周雪玲.胰腺癌患者术后并发症的观察和护理[J].中国误诊学杂志,2007,12(29):7078-7079.
[15]卢美平.护理干预对肝癌介入治疗患者疼痛与胃肠道反应的影响观察[J].河北医科大学学报,2013,34(4):464-466.
[16]金妙景.65例胰腺癌患者术后并发症的护理[J].外科护理,2012,19(11B):42-43.
[17]张琼,黄强,肖宇.5例胰腺癌术后多种并发症的护理体会[J].华北煤炭医学院学报,2010,12(1):97-98.
[18]熊文林,姚松森,李清,等.高强度聚焦超声所致组织坏死形式实验研究[J].中国超声医学杂志,2003,19(7):485-487.
[19]杨英姿.晚期胰腺癌高强度聚集超声治疗[J].中国医学创新,2011,8(5):55-56.
[20]腾安宝,葛勇胜,许戈良,等.微波固化治疗在手术不能切除的胰腺癌中的应用[J].中国临床保健杂志,2005,8(2):114-115.
[21]朱红霞.微波热疗结合放化疗胰腺癌39例分析[J].中国社区医师,2012,14(22):108.
[22]刘丽娟,吴金陵,蔡亮.胰腺癌18F-FDG PET/CT显像及诊断方法[J].中外医学研究,2012,18(10):50-51.
[23]梁星丽,张新栋.复方苦参注射液联合HIFU治疗老年晚期胰腺癌[J].中外医学研究,2012,31(10):129-130.
[2]赵新民,经翔.高强度聚焦超声治疗原发性肝癌的初步体会[J].武警医学院学报,2000,9(3):197-198.
[3]龚晓明,孙大为.高强度聚焦超声治疗实体肿瘤[J].中华妇产科杂志,2001,36(11):703-704.
[4]郭庆云,王秀英,商玉萍,等.75例肿瘤患者临床心理活动分析[J].航空航天医药,1995,6(1):56-57.
[5]李红英,王瑞文,杨莉荣,等.长期住院精神分裂症患者吸烟行为分析[J].中国健康心理学杂志,2012,20(6):818.
[6]曹维彬,李萍.心理干预对肿瘤患者情绪状态的影响[J].中国健康心理学杂志,2011,19(12):1433-1434.
[7]许海阳,屈文燕.癌症患者临床心理及护理对策[J].中国医学创新,2013,10(13):67-69.
[8]施姬,李雷雪,林巧,等.快速康复外科理念对胃肠道手术患者护理的意义[J].中国医学创新,2013,10(30):72-74.
[9]张琼,黄强,肖宇.5例胰腺癌术后多种并发症的护理体会[J].华北煤炭医学院学报,2010,12(1):97-98.
[10]严芳,李玲.快速康复外科在胃肠肿瘤手术中的应用[J].中外医学研究,2011,29(9):90-91.
[11]马金良,滕安宝,葛勇胜.手术不能切除的胰腺癌行微波固化治疗并发症的防治[J].安徽医药,2005,9(11):832-833.
[12]Shrikhande S V,Qureshi S S,Rajneesh N,et ai.Panereatic Anastomoses after Pancreati Coduodenectomy,Do We Need Further Studies[J].World J Surg,2005,29(12):1642-1649.
[13]Lobo D N,Memon M A,Allison S P,et al.Evolution of nutional support in acute pancren titis[J].Br J Surg,2000,87(6):695.
[14]金子,周雪玲.胰腺癌患者术后并发症的观察和护理[J].中国误诊学杂志,2007,12(29):7078-7079.
[15]卢美平.护理干预对肝癌介入治疗患者疼痛与胃肠道反应的影响观察[J].河北医科大学学报,2013,34(4):464-466.
[16]金妙景.65例胰腺癌患者术后并发症的护理[J].外科护理,2012,19(11B):42-43.
[17]张琼,黄强,肖宇.5例胰腺癌术后多种并发症的护理体会[J].华北煤炭医学院学报,2010,12(1):97-98.
[18]熊文林,姚松森,李清,等.高强度聚焦超声所致组织坏死形式实验研究[J].中国超声医学杂志,2003,19(7):485-487.
[19]杨英姿.晚期胰腺癌高强度聚集超声治疗[J].中国医学创新,2011,8(5):55-56.
[20]腾安宝,葛勇胜,许戈良,等.微波固化治疗在手术不能切除的胰腺癌中的应用[J].中国临床保健杂志,2005,8(2):114-115.
[21]朱红霞.微波热疗结合放化疗胰腺癌39例分析[J].中国社区医师,2012,14(22):108.
[22]刘丽娟,吴金陵,蔡亮.胰腺癌18F-FDG PET/CT显像及诊断方法[J].中外医学研究,2012,18(10):50-51.
[23]梁星丽,张新栋.复方苦参注射液联合HIFU治疗老年晚期胰腺癌[J].中外医学研究,2012,31(10):129-130.