首页|头颈部肿瘤放疗患者发生放射性口腔黏膜炎的相关影响因素分析

头颈部肿瘤放疗患者发生放射性口腔黏膜炎的相关影响因素分析

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目的 研究头颈部肿瘤放疗患者发生放射性口腔黏膜炎的相关影响因素.方法 对 2020 年 10 月至 2023 年 10 月杭州市肿瘤医院收治的 130 例头颈部肿瘤放疗患者的临床资料进行回顾性分析,以患者是否发生放射性口腔黏膜炎将其分为研究组(发生,n=110)和对照组(未发生,n=20),应用单因素χ2 检验和多因素Logistic回归分析法分析患者发生放射性口腔黏膜炎的影响因素.结果 单因素分析结果显示,放射性口腔黏膜炎发生与吸烟史、诱导化疗、口腔卫生状况、应用口腔黏膜保护剂情况有关(P<0.05).多因素Logistic回归分析结果显示,放射性口腔黏膜炎发生与诱导化疗、未使用黏膜保护剂、吸烟、口腔卫生差均有关,其是导致放射性口腔黏膜炎发生的独立危险因素(P<0.05).结论 头颈部肿瘤放疗患者发生放射性口腔黏膜炎的几率较高,其中诱导化疗、吸烟、未使用黏膜保护剂、口腔卫生差是影响其发生放射性口腔黏膜炎的独立危险因素,因此在临床工作中可针对性预防以降低放射性口腔黏膜炎发生风险.
Analysis of related influencing factors on radiation induced oral mucositis in patients with head and neck tumor radiotherapy
Objective To study on the related influencing factors of radiation-induced oral mucosal inflammation in patients with head and neck tumor radiotherapy.Methods A retrospective analysis was conducted on the clinical data of 130 patients with head and neck tumor radio-therapy admitted to our hospital from October 2020 to October 2023.The patients were divided into the study group(occurrence,n=110)and the con-trol group(no occurrence,n=20)based on the incidence of radiation-induced oral mucositis.Single factor χ2 inspection and multivariate logistic re-gression analysis were applied to analyze the relevant influencing factors of radiation induced oral mucosal inflammation in patients.Results The results of univariate analysis showed that the incidence of radiation induced oral mucositis was related to history of smoking,induction chemotherapy,oral hygiene status,and use of oral mucosal protectants(P<0.05).The results of multivariate logistic regression analysis showed that the occurrence of radiation-induced oral mucositis was related to induced chemotherapy,no use of mucosal protectants,smoking,and poor oral hygiene,it was an inde-pendent risk factor for radiation-induced oral mucositis(P<0.05).Conclusion Patients with head and neck tumors undergoing radiotherapy have a higher risk of developing radiation-induced oral mucosal inflammation.The radioactive oral mucositis is associated with induced chemotherapy,no use of mucosal protective agents,smoking,and poor oral hygiene,which are independent risk factors,therefore,targeted prevention can be made in clini-cal work to reduce the risk of radioactive oral mucositis.

Head and neck tumorsRadiation induced oral mucosal inflammationRadiation therapyMalignant tumorsInfluence factor

曹雪晴、陈彦敏、章丽芳、周丹萍

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310002 杭州,浙江省杭州市肿瘤医院

头颈部肿瘤 放射性口腔黏膜炎 放射疗法 恶性肿瘤 影响因素

2024

浙江创伤外科
温州医学院

浙江创伤外科

影响因子:0.884
ISSN:1009-7147
年,卷(期):2024.29(7)