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find Author "袁灵" 3 results
  • 125I 粒子内放射治疗晚期恶性肿瘤患者的护理

    目的 探讨植入125I粒子内放射治疗晚期恶性肿瘤患者的护理方法。 方法 2010年10月-2011年7月,对87例行CT引导下植入放射性125I粒子治疗患者,加强术前健康教育、术后并发症的观察及放射防护,使其最终配合完成治疗。 结果 87例患者均能配合粒子植入治疗,无1例发生严重并发症。术后1、3、6个月随访,没有发现患者有肿瘤局部复发或粒子移位现象,肿瘤局部均有不同程度的缩小。 结论 积极有效的护理措施,可确保晚期肿瘤患者125I放射性粒子治疗手术的成功与安全,减少并发症发生,提高患者生活质量。

    Release date:2016-09-08 09:13 Export PDF Favorites Scan
  • 醋酸甲地孕酮在肿瘤化学疗法患者中的应用及护理

    目的观察醋酸甲地孕酮(MA)对肿瘤患者化学疗法(化疗)期间恶心、呕吐症状的抑制效果及不良反应。 方法采用前瞻性、自身前后对照研究,将2013年3月-9月入院的60例化疗肿瘤患者随机分为A、B两组。每组30例。A组在第1周期化疗前2 d开始口服MA,160 mg/d,连续口服5 d;托烷司琼5 mg/d,化疗前30 min静脉滴注,化疗第1~3天;第2周期单用托烷司琼。B组在第2周期口服MA+静脉滴注托烷司琼,第1周期单用托烷司琼,余同前。化疗结束后比较用MA和不用MA时的恶心、呕吐发生率和程度,以及便秘、血栓、面色潮红、阴道出血、血糖升高及水钠潴留等不良反应发生率。 结果患者用MA时恶心、呕吐发生率较不用MA时明显降低(P<0.05),恶心、呕吐程度也较不用MA时减轻(P<0.05)。用MA和不用MA的便秘发生率比较,差异无统计学意义(P>0.05)。两组均未见血栓、面色潮红、阴道出血、血糖升高及水钠潴等不良反应。 结论与不使用MA比较,肿瘤患者使用MA能明显减轻化疗引起的恶心、呕吐反应,且不增加其他不良反应发生率。

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  • Correlation of OPRM1 A118G gene polymorphism with Eysenck personality type and pain sensitivity

    Objective To investigate the correlation between OPRM1 A118G gene polymorphism and Eysenck personality type and pain sensitivity. Methods The surgical patients who were transferred from Department of Emergency Medicine to Department of General Surgery of Luzhou People’s Hospital between January 2018 and December 2020 were selected. Before surgery, Eysenck Personality Questionnai (EPQ) was used to investigate the patient’s personality type, and the pain threshold and pain tolerance threshold were determined by electric stimulation instrument. The OPRM1 A118G genotype of peripheral venous blood was detected by polymerase chain reaction-restriction fragment length polymorphism analysis technique. Patients were divided into wild homozygous (A/A) group, mutant heterozygous (A/G) group and mutant homozygous (G/G) group according to the typing results. The general condition, pain sensitivity, EPQ score, difference of Eysenck personality type and correlation between Eysenck personality type and pain sensitivity were analyzed. Results A total of 356 patients were enrolled, including 174 in A/A group, 136 in A/G group and 46 in G/G group. The mutation rate of OPRM1 A118G gene was 32.00%. There were statistically significant differences in pain sensitivity (pain threshold, pain tolerance threshold) and scores of introverted and extraverted, neurotic and dissemble personality types among three groups (P<0.05). There were significant differences in introverted and extraverted and psychotic personality types among the three groups (P<0.05). There were significant differences in pain threshold and pain tolerance threshold among different introverted, extraverted and psychotropic personality types (P<0.05). Conclusion Both OPRM1 A118G gene polymorphism and Eysenck personality type have influence on pain sensitivity, and there is a correlation between them.

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