摘要
目的总结丝裂霉素C热灌注化疗治疗表浅性膀胱癌患者的护理要点。方法对63例表浅性膀胱癌患者经尿道肿瘤电切术后,应用丝裂霉素C进行热灌注化疗,并实施相应的护理。结果患者热灌注化疗过程中生命体征平稳,化疗过程11例患者出现下腹部皮肤潮红和轻度灼热感,26例患者术后出现尿痛、尿急、尿频,经对症处理后症状缓解。随访6～37个月,患者均生活良好,膀胱镜检查无局部及膀胱腔内其他部位肿瘤复发,临床疗效满意。结论丝裂霉素C膀胱热灌注治疗对预防经尿道膀胱癌切除术后肿瘤复发具有较好的临床疗效。护理方面加强患者膀胱热灌注化疗过程护理,降低不良反应的发生,从而降低患者的痛苦和不适。
Objective To explore the key points of nursing patients with superficial bladder carcinoma treated with mitomycin C （MMC） hyperthermic perfusion chemotherapy. Methods 63 patients with superficial bladder carcinoma in the study having undergone transurethral tumor resection, were treated with mitomycin C hyperthermic perfusion chemotherapy. They were managed with perioperative nursing strategies. Results During the operation, the vital signs of all patients were stable. 11 patients had mild lower abdominal skin flushing and mild burning sensation. 26 of them contracted with odynuria, urgency and frequent micturition, which were mitigated for symptomatic treatment. 6 ~ 37 months follow-up showed normal quality of life in them. Conclusion MMC hyperthermic perfusion chemotherapy for the prevention of postoperative recurrence of superficial bladder cancer has a good clinical efficacy. The perioperative nursing should be strengthened to lower the incidences of adverse reactions and reduce the pain and discomfort so that the patients can be cooperative in treatment for the purpose of ensuring curative continuity.
出处
《现代临床护理》
2012年第8期22-24,共3页
Modern Clinical Nursing
关键词
丝裂霉素C
热灌注化疗
表浅性膀胱癌
护理
mitomycin C
hyperthermie perfusion chemotherapy
superficial bladder carcinoma
nursing
