临床误诊误治2024,Vol.37Issue(16) :56-60.DOI:10.3969/j.issn.1002-3429.2024.16.011

三乙醇胺乳膏防治头颈部恶性肿瘤放疗患者放射性皮炎的疗效及对心理状态的影响

Effect of Triethanolamine Cream on the Prevention and Treatment of Radiation-induced Dermatitis in Patients with Malignant Head and Neck Tumor Undergoing Radiotherapy and Its Impact on Psychological State

张翠红 高琪 马博敬 欧阳志勇 张佳宁 侯春立
临床误诊误治2024,Vol.37Issue(16) :56-60.DOI:10.3969/j.issn.1002-3429.2024.16.011

三乙醇胺乳膏防治头颈部恶性肿瘤放疗患者放射性皮炎的疗效及对心理状态的影响

Effect of Triethanolamine Cream on the Prevention and Treatment of Radiation-induced Dermatitis in Patients with Malignant Head and Neck Tumor Undergoing Radiotherapy and Its Impact on Psychological State

张翠红 1高琪 1马博敬 1欧阳志勇 1张佳宁 1侯春立2
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作者信息

  • 1. 050082 石家庄,联勤保障部队第九八〇医院放射治疗科
  • 2. 050082 石家庄,联勤保障部队第九八〇医院肿瘤科
  • 折叠

摘要

目的 探索三乙醇胺乳膏防治头颈部恶性肿瘤放疗患者放射性皮炎的效果及对心理状态的影响.方法 选取2021 年1 月至2022 年12 月放疗的80 例头颈部恶性肿瘤患者为研究对象,随机数字表法分为对照组和观察组,每组40 例.在放疗时,对照组接受常规皮肤保护措施,而观察组则在对照组基础上应用三乙醇胺乳膏涂抹.比较2 组不同级别放射性皮炎的发生时间及康复时间,比较2 组不同放疗剂量阶段放射性皮炎的分级以及放疗前后焦虑和抑郁评分的差异.结果 观察组出现不同级别放射性皮炎的时间较对照组明显延后,而康复时间较对照组显著缩短(P<0.01).放疗剂量>60 Gy时,2 组都出现不同级别的放射性皮炎;观察组Ⅲ~Ⅳ级放射性皮炎的总发生率为15.0%(6/40),相较于对照组65.0%(26/40)明显降低(P<0.05).在放疗结束时,观察组焦虑自评量表评分和抑郁自评量表评分与放疗前及对照组比较均明显降低(P<0.05).结论 头颈部恶性肿瘤放疗患者使用三乙醇胺乳膏可以显著降低放射性皮炎的发生风险,并减轻其严重程度、缩短康复时间,使Ⅲ~Ⅳ级放射性皮炎发生率明显降低,还能够有效地缓解患者的焦虑和抑郁情绪.

Abstract

Objective To explore the effect of Triethanolamine cream in the prevention and treatment of radiation-induced dermatitis(RID)in patients with malignant head and neck tumors undergoing radiotherapy,and to evaluate its impact on the psychological state of patients.Methods From January 2021 to December 2022,80 patients with malignant head and neck tumors undergoing radiotherapy were selected as the research subjects,and were divided into control group(n=40)and observation group(n=40)by random number table method.During radiotherapy,the control group received conventional skin protection measures,while the observation group was given Triethanolamine cream on the basis of the control group.The occurrence time and recovery time of different grades of RID were compared between the two groups.The grades of RID at dif-ferent doses and the scores of anxiety and depression before and after radiotherapy were compared between the two groups.Results The time of different grades of RID in the observation group was significantly delayed,and the recovery time was sig-nificantly shortened(P<0.01).When the radiation dose was more than 60 Gy,different levels of RID appeared in both groups.The total incidence of grade Ⅲ-Ⅳ RID in the observation group was 15.0%(6/40),which was significantly lower than that in the control group[65.0%(26/40)](P<0.05).At the end of radiotherapy,the scores of self-rating anxiety scale and self-rating depression scale in the observation group were significantly lower than those before radiotherapy and those in the control group(P<0.05).Conclusion The use of Triethanolamine cream during radiotherapy in patients with malig-nant head and neck tumors can significantly reduce the risk of RID and the severity of RID,shorten the recovery time,signifi-cantly reduce the incidence of grade Ⅲ-Ⅳ RID,and effectively relieve patients'anxiety and depression.

关键词

头颈部肿瘤/放疗/三乙醇胺乳膏/放射性皮炎/焦虑/抑郁/治疗效果

Key words

Malignant head and neck tumors/Radiation therapy/Trolamine cream/Radiodermatitis/Anxiety/De-pression/Therapeutic effect

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基金项目

河北省卫生厅重点科技研究计划课题(20220237)

出版年

2024
临床误诊误治
解放军白求恩国际和平医院

临床误诊误治

CSTPCD
影响因子:0.914
ISSN:1002-3429
参考文献量15
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