目的 探索阅读疗法在肺纵隔癌化疗中心理护理中的作用.方法 将30例患者随机分为两组,实验组15例,对照组15例.实验组在化疗的同时运用了阅读疗法辅助治疗.50天后,运用Zung焦虑量表和抑郁量表进行评估.结果 与对照组相比,实验组患者焦虑、抑郁的程度明显得到改善(P<0.05).结论 阅读疗法对肺纵隔癌患者是一种有效的辅助康复疗法.

125 I永久性组织间植入治疗是肿瘤近距离放疗的一种新兴方法，妇科肿瘤经手术加放疗或单纯全程放疗后，未控、复发的再治疗是临床治疗较棘手的问题，因放疗后组织纤维化，放射性炎症粘连，再手术有困难，化疗效果因肿瘤血运不好而大打折扣，再放疗病人耐受性有限而难以进行[1]。应用微创技术将125 I放射微粒子植入肿瘤组织中，植入的粒子通过持续不断地释放低能量γ射线，能破坏肿瘤细胞核的 DNA 双链[2]。使肿瘤细胞失去繁殖能力，杀伤肿瘤细胞而不损伤正常组织，从而达到治疗肿瘤的目的。现介绍如下。

目的 探讨在护士长工作中实施人性化管理对护理工作的促进作用.方法 通过四个方面对护士实施人性化管理.结果 对护士实施人性化管理,调动护士积极性,提高了满意度.结论 实施人性化管理,促进护理质量的全面提升.

食管癌是我国常见的恶性肿瘤之一,其中老年病人占绝大多数.病人出现明显的临床症状才来院就医,其中绝大多数病人已为中晚期,所以根治性放疗或姑息性放疗在食管癌的治疗中占有重要的地位.为保证放疗的顺利进行,减少并发症,做好病人的护理工作有非常重要的作用.

[目的]观察如意金黄散外敷治疗化疗药物所致浅表静脉炎的疗效。[方法]将60例化疗药物所致浅表静脉炎病人随机分为实验组和对照组,实验组采用蜂蜜调如意金黄散成糊状,外敷于静脉炎处;对照组采用50%硫酸镁外敷于静脉炎处。[结果]实验组与对照组Ⅰ级静脉炎第12小时痊愈率分别为63.33%和33.33%,第72小时时分别为100.00%、83.33%。[结论]应用蜂蜜冲调如意金黄散外敷治疗静脉炎疗效明显优于50%硫酸镁外敷。

Objective To observe the toxicity and effection of three dimensional conformal radiation therapy(3DCRT)based on conventional fractionation radiotherapy in combination with chemotherapy in non-small-cell lung cancer(NSCLC).Methods 62 NSCLC patients with stage Ⅲ were chosen as research objects.All the patients received chemotherapy two cycles with NP regimen firstly(NVB 40 mg d1,8,DDP 30 mg d2-5),then they accepted radiotherapy in twentith day after chemotherapy when hemocyte got normal.In the first half period of the radiotherapy,conventional radiotherapy were given with 2 Gy/f,after the dose got 40 Gy/20 f,then three dimensional conformal radiation therapy were given with 4～6 Gy/f every 1 to 2 days until the total dose got 24～30 Gy/4～6 f.The patients with supraclavicular lymphnode metastatic carcinoma received conventional fractionation radiotherapy with 60Co or 6 MV-X ray combined electronic ray until the dose(DT)up to 64～66 Gy.After radiotherapy,the patients accepted chemotherapy two cycles with NP regimen again.Results All the 62 patients completed treatment plan,and follow-up survey had lasted for 3 years.The short-term efficacy was evaluated in 3 months after radiotherapy. Among 62 patients, 9 cases gained a complete remission(CR),40 cases partial remission(PR),and the total remission was 79.0%.The acute toxicity showed acute radiation esophagitis,radiation pneumonia and acute gastrointestinal reaction.However,expectant treatment was effective.The 1,2,3 year survival rate was 7 1.0%,48.4%,30.6%,respectively.The 1,2,3 year local control rate was 80.6%,62.9%,40.3%,respectively.Conclusion 3DCRT based on conventional fractionation radiotherapy for NSCLC have good effection and mild toxicity.

病人在医院接受治疗时,往往在需要暴露局部治疗部位时,必需脱去整件衣、裤,由于春季、秋季、冬季室内温度低于体温,使病人易着凉、感冒,诱发其他并发症等,引起身体的不适.局部肿瘤放疗病人,指导放疗病人和家属将放疗局部的内衣剪开,露出局部皮肤进行治疗,这样不影响治疗,还可保暖,但这一方法还有待改进.另外住院病人的病号服颜色单调,款式单一,功能缺乏,根本不能满足住院病人的身心及治疗的需要.因此,近几年,通过大量的研究和临床实践,设计出多功能病号服,获国家实用型专利.现将其介绍如下.

化疗药物是治疗恶性肿瘤的重要手段之一.1967年Ditrassi应用大剂量甲氨蝶呤(MTX)及亚叶酸钙(CFR)解救方法应用于临床,使一些常规剂量化疗效果欠佳的恶性肿瘤病人取得了较好的疗效.