| 张 楠 代彩林 程 心 裴艳波 邹滨英 孙 晶 年 红.食管癌患者在放射治疗中不同营养途径的护理管理效应[J].,2015,15(6):1123-1125 |
| 食管癌患者在放射治疗中不同营养途径的护理管理效应 |
| Nursing Experience in the Radiotherapy of Patients with Esophageal Cancerby Different Nutrition Ways |
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| DOI： |
| 中文关键词: 食管癌 鼻饲 胃 造瘘 放射治疗 护理 |
| 英文关键词: Esophageal Cancer Nasal feeding Gastrostomy Radiotherapy Nursing |
| 基金项目:黑龙江省卫生厅青年科学基金项目（ 201 2-625） |
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| 中文摘要: |
| 目的： 探讨不同 营养途径包括直接经食管与 间 接经鼻饲、胃 造瘘进食的食管癌患者在放射治疗 过程中的护理措施和方法对
患者的临床效应。 方法： 回顾性分析我科一年来放射治疗 的 63 例食管鳞状细胞癌患者的临床资料， 其中 46 例 患者直接经食管进
食，其余 17 例 治疗前行鼻饲或胃 造瘘进食，在治疗 过程中注重对患者的心理护理、饮食及放疗并发症护理。 结果： 放疗前行鼻饲
或食管造瘘患者在放疗过程中依从性好， 放射性食管炎能更好的控制， 未发生食管穿孔及食管气管瘘等重大放疗并发症。 结论：
放疗前行鼻饲或胃 造瘘的食管癌患者， 周 密的观察与 细致的护理， 主动的护患沟 通， 会导致积极的临床效应， 可减轻放射损伤， 降
低食管穿孔及食管气管瘘的几率， 延长患者生命， 提高其生活质量。 |
| 英文摘要: |
| Objective:To explore nursing interventions and methods for esophageal cancer patients in accordance with different
nutrition ways, including direct through oesophagus, indirect by nasal feeding or gastrostomy intake in their radiotherapies.Methods:The
research is on the basis of the author's psychological, diet and radiotherapy complications nursing for 63 esophageal squamous cell
carcinoma patients, including 46 esophageal intake, 1 7 nasal feeding or gastrostomy before therapy in their one-year radiotherapies.Results:Patients who have taken nasal feeding or gastrostomy before radiotherapy get better compliance during the process of it, their
radiation esophagitis could get a better control, without having any significant radiotherapy complications such as esophageal perforation
and tracheoesophageal fistula.Conclusion:Taking nasal feeding or gastrostomy before radiotherapy can reduce radiation damage of the
patient with Esophageal Cancer, and cut the odds of esophageal perforation and tracheoesophageal fistula happening, in the meantime
prolong patient's life and improve his living quality. |
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