摘要
目的 :观察 41例患者口腔粘膜炎发生、发展的规律 ,为临床护理提供科学的依据。方法 :预先设计好口腔粘膜炎的观察表 ,每次口腔护理前对口腔粘膜认真评估 ,逐项填写。结果 :本组口腔粘膜炎的发生率为 83.7% % ;发生部位颊 (4 6 .3% ) ,舌(34.1% )、唇 (31.7% )、齿龈和腭 (均为 2 9.3 % ) ;发生程度 0级、Ⅰ级占 83.7% ;发生与粒细胞下降速度、幅度、持续时间均有关 ;粘膜炎时微生物检测均为常居菌。结论 :口腔粘膜炎是造血干细胞移植患者常见而严重的并发症。虽发生率高 ,但只要仔细观察、有效护理 ,是可以降低口腔粘膜炎发生程度的。
Objective:The rules of occurrence and development of oral mucositis in 41 stem cell transplantation recipients were investigated to supply scientific bases for clinical nursing. Methods: Oral mucositis was carefully evaluated before every mouth nursing, and then, the observation charts designed in advance were filled in completely. Results:Forty-one of the recipients(83.7%)suffered from oral mucositis, mainly with degree Ⅰ(80.5%). As for the occurrence positions,the cheek, tongue, lip, ingiva and palate were involved and the incidences in these locations were 46.3%, 34.1%, 31.7%, 29.3%, 29.3%, respectively; The incidence of oral mucositis was associated with granulocyte counts in its descending velocity, extent and duration.Detecting for microorganisms showed almost all the infections were caused by habitue bacteria. Conclusion: Oral mucositis is a common complication in stem cell transplantation recipients. The incidence of oral mucositis was high, especially degreeⅠ. The involved mucose was mainly on the cheek, tongue, lip and gingiva. Author's address Department of Hematology,Chang Zheng Hospital,Shanghai, 200003
出处
《中华护理杂志》
CSCD
北大核心
2001年第1期10-12,共3页
Chinese Journal of Nursing
