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主办:国家卫生健康委医院管理研究所
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中国护理管理 ›› 2023, Vol. 23 ›› Issue (1): 52-56.doi: 10.3969/j.issn.1672-1756.2023.01.011

• 论著 • 上一篇    下一篇

乳腺癌患者化疗所致周围神经病变分级防治方案的应用

褚彦香 熊欢   

  1. 华中科技大学同济医学院附属同济医院甲乳外科,430030 武汉市
  • 出版日期:2023-01-15 发布日期:2023-01-15
  • 通讯作者: 熊欢,本科,主管护师,E-mail:765066837@qq.com
  • 作者简介:褚彦香,硕士,主管护师

Application of a graded prevention program for breast cancer patients with Chemotherapy-Induced Peripheral Neuropathy

CHU Yanxiang, XIONG Huan   

  1. Department of Breast & Thyroid Surgery, Tongji Hospital, Wuhan, 430030, China
  • Online:2023-01-15 Published:2023-01-15
  • Contact: E-mail:765066837@qq.com

摘要: 目的:评价分级防治方案在乳腺癌患者化疗所致周围神经病变(Chemotherapy-Induced Peripheral Neuropathy,CIPN)中的应用效果。方法:便利选取2020年7月至2021年7月在武汉某三级甲等医院乳腺外科行化疗的乳腺癌患者145例为研究对象,按入院时间分为实验组(n=72)和对照组(n=73),实验组给予CIPN分级防治方案,对照组给予CIPN常规防治措施,比较两组患者CIPN发生率、发生等级及CIPN相关症状的严重程度。结果:实验组化疗期间及化疗结束后1个月CIPN发生率及发生等级均低于对照组(P<0.05),实验组CIPN相关症状的严重程度也低于对照组(P<0.05)。结论:乳腺癌患者CIPN分级防治方案能有效降低CIPN发生率及发生等级,并可有效改善患者CIPN相关症状,有助于提高乳腺癌化疗患者的生活质量。

关键词: 乳腺癌;周围神经病变;周围神经炎;化疗

Abstract: Objective: To examine the effects of a graded prevention program for breast cancer patients with Chemotherapy-Induced Peripheral Neuropathy (CIPN). Methods: A total of 145 breast cancer patients who received chemotherapy in the breast surgery department of a tertiary hospital in Wuhan from July 2020 to July 2021 were recruited and assigned to the experimental group (n=72) and the control group (n=73) according to their admission dates. Patients in the experimental group was given a graded prevention program, while patients in the control group received routine prevention measures. The incidence of CIPN, grade of CIPN, and the symptom severity of CIPN were compared between the two groups. Results: The incidence, grade and severity of CIPN-related symptoms of patients in the experimental were lower than those of patients in the control group during chemotherapy and one month after the chemotherapy (P<0.05). Conclusion: The graded prevention program for breast cancer patients with CIPN can reduce the incidence and grade of CIPN, and can effectively improve the CIPN-related symptoms in breast cancer patients who received chemotherapy, and then help to improve their life quality.

Key words: breast cancer; peripheral neuropathy; peripheral neuritis; chemotherapy

中图分类号:  R47;R197