自制中药油外涂预防放射性皮肤损伤的效果观察

Effects of self-made traditional Chinese medicine oil in prevention of radiation-induced skin injury

  • 摘要:
    目的 观察自制中药油外涂预防放射性皮肤损伤的效果。
    方法 将99例接受放射治疗的头颈部肿瘤患者按随机数字法分为A组(34例)、B组(33例)、C组(32例)。照射前,A组用自制中药油外涂于照射野皮肤上,照射后继续用药3 d,3次/d,直至放疗结束; B组采用医用射线防护喷剂; C组采用湿润烧伤膏。B组和C组的用药方法均同A组。
    结果 A组放射性皮肤损伤的发生率为14.7%,B组为21.2%,C组为46.9%,A、B两组之间的差异无统计学意义(χ2=0.4822,P>0.05);A、C两组之间的差异有统计学意义(χ2=8.0772,P<0.01);B、C两组之间的差异有统计学意义(χ2=4.7786,P<0.05)。
    结论 自制中药油对放射性皮肤损伤的预防效果同医用射线防护喷剂,明显优于湿润烧伤膏,具有疗效好、操作简单、方便等优点,且价格明显低于医用射线防护喷剂,值得推广应用。

     

    Abstract:
    Objective To observe the effects of self-made traditional Chinese medicine oil in prevention of radiation-induced skin injury.
    Methods Ninety-nine head and neck neoplasm patients who received radiotherapy were divided randomly into three groups: group A(34 cases), group B(33 cases) and group C(32 cases).Before radiation, group A was treated with self-made traditional Chinese medicine oil directly applied on the exposure field skin.After radiation, such medicine oil was continued to apply for three days at a frequency of three times a day till the end of the radiotherapy; group B was treated with medical radiation protection spray; group C was treated with moisture exposed burn ointment.The methods applied on group B and group C were the same as that of the group A.
    Results The incidence rate of radiation-induced skin injury of group A was 14.7%; while the incidence rate was 21.2% for group B and 46.9% for group C.The difference between group A and group B beard no statistical significance(χ2=0.4822, P>0.05); while there were statistically significant differences between group A and group C(χ2=8.0772, P < 0.01), group B and group C(χ2=4.7786, P < 0.05).
    Conclusions The self-made traditional Chinese medicine oil has similar preventive effect to medical radiation protection spray on radiation-induced skin injury and is obviously superior to moisture exposed burn ointment.And self-made traditional Chinese medicine oil is featured by satisfying curative effect, easy operation, convenient handling, etc.Because of the lower price, the self-made traditional Chinese medicine oil is more suitable for application than the medical radiation protection spray.

     

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