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目的观察三乙醇胺乳膏与三黄膏调和蜂蜜治疗乳腺癌放疗患者放射性皮炎的效果,探讨有效的护理措施。方法将120例乳腺癌根治术或保乳术后行辅助性放疗后产生放射性皮炎的患者分为两组,观察组58例给予三黄膏调和蜂蜜外涂,对照组62例给予三乙醇胺乳膏外涂,均给予责任制整体护理,观察两组患者的治疗效果。结果治疗后观察组的愈合天数明显短于对照组[(7.215±1.877)d vs(14.371±4.162)d,P<0.01];两组治疗3 d后创面面积均明显小于治疗前(P<0.01),观察组治疗3 d的后创面面积明显小于对照组(P<0.01)。观察组治疗14 d后效果明显优于对照组(94.83%vs 82.26%,P<0.05)。结论三黄膏调和蜂蜜对于乳腺癌术后放疗患者放射性皮炎的治疗效果明显优于三乙醇胺乳膏,且创面愈合时间短,患者所受痛苦小,更有利于放疗的进行,责任制整体护理能有效提高患者的遵医行为和护士的治疗护理操作。
Objective To observe the effects of triethanolamine cream and Sanhuang cream in reconstructing honey on radiodermatitis in patients undergoing radiotherapy of breast cancer and to explore effective nursing measures. Methods A total of 120 patients with radiated dermatitis who underwent radical radiotherapy after radical mastectomy or breast-conserving surgery were divided into two groups. 58 cases in the observation group were treated with Sanhuang cream and honey, and 62 cases in the control group were given triethanolamine cream External coating, are given responsibility for the overall care, observation of the treatment effect of two groups of patients. Results After treatment, the healing days in the observation group were significantly shorter than those in the control group [(7.215 ± 1.877) d vs (14.371 ± 4.162) d, P <0.01] ). The wound area in the observation group after 3 days of treatment was significantly smaller than that in the control group (P <0.01). After 14 days of treatment, the observation group was significantly better than the control group (94.83% vs 82.26%, P <0.05). Conclusion Sanhuang cream reconcile honey for radiotherapy dermatitis patients with postoperative radiotherapy of breast cancer was significantly better than triethanolamine cream, and the wound healing time is short, patients suffering little, more conducive to the conduct of radiotherapy, the responsibility of the overall care can Effectively improve the compliance of patients with nurses and nursing care operations.