139例中晚期宫颈癌放疗患者行阴道冲洗临床观察和护理.doc

139例中晚期宫颈癌放疗患者行阴道冲洗临床观察和护理 　　摘要：目的：探讨139例中晚期宫颈癌放疗患者行阴道冲洗的必要性。 方法：在我科选取139例中晚期宫颈癌放疗患者作为研究对象，分为观察组和对照组。观察组为71例，放疗全程进行阴道冲洗，1-2次/天，放疗结束后继续行阴道冲洗或回当地医院继续冲洗坚持6个月。1次/天阴道冲洗；对照组为68例，经全盆腔体外照射后，1次/周后装腔内放射治疗，坚持每天阴道冲洗护理。 两组患者进行比较。结果：观察组治疗全过程配合阴道冲洗护理良好，治疗效果较好，并发症的发生显著低于对照组，经X2检验P 0.05。两组差异无显著性。结论：中晚期宫颈癌放疗后患者坚持阴道冲洗可以有效预防宫腔感染，阴道粘连等并发症的发生，加强阴道冲洗是预防宫颈癌放射治疗并发症必不可少的护理干预措施。 关键词：宫颈癌 阴道冲洗 护理 Doi：10.3969/j.issn.1671-8801.2014.02.012 139 cases of patients with locally advanced cervical cancer radiotherapy douching clinical observation and nursing Liu Wei Sun Yiping Chen Lei Abstract：Objective：Investigate 139 patients with locally advanced cervical cancer radiotherapy line the necessity of douching.Methods：Select the patients in our department，139 cases of advanced cervical cancer radiotherapy as the research object，divided into observation group and control group.The observation group was 71 cases，radiotherapy whole vagina washing，1-2 times per day，after the end of radiotherapy for vaginal douching or back to the local hospital to continue flushing persist for 6 months.1/day vaginal irrigation； 68 cases in the control group，after in vitro irradiation total pelvic，1 times/week afterloading intracavitary radiotherapy，at the end of every vagina washing care.The two groups of patients were compared.Result：The observation group during the treatment with vaginal douche good care，good therapeutic effect，complications was significantly lower than the control group，the X2 test P0.05.Conclusion：In advanced cervical cancer after radiotherapy patients adhere to the vagina flushing can be effective in preventing intrauterine infection，vaginal adhesion complications occurred，strengthen vaginal irrigation is essential for nursing intervention measures to prevent cervical cancer radiotherapy complications. Keywords：Cervical cancer Douching Care 【中图分类号】R4 【文献标识码】A 【文章编号】1671-8801（2014）02-0012-01 宫颈癌是最常见的妇科恶性肿瘤之一，在女性癌症死亡率中排第二。[1]如果宫颈癌患者能够早期就诊，得当治疗，治愈率是较高的。在中晚期宫颈癌治疗过程中，放射治疗（含近距离后装腔内照射和远