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目的:探讨清热解毒方外敷治疗鼻咽癌放疗后颈部溃疡的临床疗效及护理满意度。方法:选取62例鼻咽癌放疗后颈部溃疡的患者,采用随机数字法分为对照组及治疗组,各31例。两组患者均予常规护理,对照组予重组人表皮生长因子凝胶治疗,治疗组再予清热解毒方外敷治疗及护理。观察两组患者治疗前后疼痛评分,比较两组患者临床疗效及护理满意度。结果:治疗后两组患者VAS评分均低于同组治疗前(P<0.05);治疗后治疗组VAS评分低于对照组(P<0.05)。对照组总有效率为74.2%,治疗组为93.5%,组间比较差异有统计学意义(P<0.05)。总满意率对照组为80.6%,治疗组为96.8%,组间比较差异有统计学意义(P<0.05)。结论:清热解毒方外敷治疗鼻咽癌放疗后颈部溃疡的临床疗效显著,相关护理同等重要。
Objective: To investigate the clinical efficacy and nursing satisfaction of Qingrejiedu Prescription for the treatment of cervical ulcer after radiotherapy of nasopharyngeal carcinoma. Methods: 62 patients with neck ulcer after radiotherapy of nasopharyngeal carcinoma were selected and randomly divided into control group and treatment group, with 31 cases in each group. The patients in both groups were given routine nursing. The control group was treated with recombinant human epidermal growth factor gel, and the treatment group was treated with Qingrejiedufang external application and nursing. The pain scores of two groups before and after treatment were observed, and the clinical efficacy and nursing satisfaction of the two groups were compared. Results: The VAS scores of two groups after treatment were lower than those before treatment (P <0.05). After treatment, the VAS score of the treatment group was lower than that of the control group (P <0.05). The total effective rate was 74.2% in the control group and 93.5% in the treatment group, with significant difference between the two groups (P <0.05). The total satisfaction rate was 80.6% in the control group and 96.8% in the treatment group, with significant difference between the two groups (P <0.05). Conclusion: The clinical curative effect of Qingrejiedu Prescription for the treatment of cervical ulcer after radiotherapy of nasopharyngeal carcinoma is significant, and the related nursing is equally important.