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題名:子宮頸癌病患接受體腔內近接放射治療時疼痛緩解效果之探討
書刊名:護理雜誌
作者:楊靜雯梁雲林佑樺王秀仁陳惠君
作者(外文):Yang, C. W.Leung, W.Lin, Y. H.Wang, S. R.Chen, H. C.
出版日期:1998
卷期:45:1
頁次:頁29-37
主題關鍵詞:子宮頸癌體腔內近接放射治療局部麻醉劑Cervical cancerIntracavitary brachytherapyLocal anesthesia
原始連結:連回原系統網址new window
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  • 被引用次數被引用次數:期刊(0) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:0
  • 共同引用共同引用:1
  • 點閱點閱:27
     本研究之目的是在瞭解某醫學中心放射腫瘤科之子宮頸癌病患,在接受體腔內近 接放射治療時的疼痛反應。 並比較肌肉注射止痛劑 (Demerol) 和肌肉注射止痛劑合併陰道 局部塗抹表面麻醉劑 (2 % Xylocaine Jelly),兩者的止痛效果。 研究採用前實驗設計之 時間系列設計法,自 84 年 10 月 16 日至 85 年 10 月 11 日共收集 50 位病人,作有、 無給予 2 % Xylocaine Jelly 後,病患疼痛反應的比較。研究結果顯示:病患之疼痛程度 與 Xylocaine Jelly 之有、無使用呈現顯著差異, 當有使用 2 % Xylocaine Jelly 時, 能明顯降低其治療過程的疼痛。此外,病人的疼痛程度與其部位亦有顯著差異,會陰合併薦 椎部位之疼痛程度大於僅發生於會陰部位之疼痛。 至於疼痛部位, 無論有、 無使用 2 % Xylocaine Jelly,大部份病患疼痛發生部位均為會陰部,其次是會陰合併薦椎部位, 而疼 痛性質以酸痛最多,其次則為擠壓痛。
     The purpose of this study is to analyze the pain reaction of patients with cervical cancer treated with intracavitary brachytherapy. A comparison was made between Demerol injected intramuscularly alone and combined with local use of 2 % Xylocaine Jelly over the uterine cervix and vagina. One sample of time series was used for this study on fifty patients. In this experiment, each patient had to receive a complete brachytherapy treatment. The brachytherapy treatment was divided into two groups: a first and a second. The first group was treated only with intramuscularly injected Demerol. The second group received both Demerol and 2 % Xylocaine Jelly. The intensity of pain was measured and one hundred samples (two samples on each patient) were taken. The results showed that significant differences were found in pain relief between the two groups. The patients who received Xylocaine Jelly experienced much less pain. Different parts of the body experienced different intensity of pain. Patients felt the most intense pain at the perineum either with or without Xylocaine Jelly. Most of the pain appeared as soreness; pressure was the second most common.
期刊論文
1.Ferrell, B. R.、Wisdom, C.、Wenzl, C.(1989)。Quality of life as an outcome variable in the management of cancer pain。Cancer,63(11),2321-2327。  new window
2.Daut, R. L.、Cleeland, C. S.(1982)。The prevalence and severity of pain in cancer。Cancer,50(9),1913-1918。  new window
3.梁錦榮、陳光耀(1979)。組織播種放射線治療。臨床醫學,3(3),203-208。  延伸查詢new window
4.李夢英(19900500)。談癌患疼痛之護理經驗。長庚護理,1(1),11-20。new window  延伸查詢new window
5.陳鈺琴(19861100)。子宮頸癌後荷式遙控近接治療機治療之護理。榮總護理,3(4),326-329。new window  延伸查詢new window
6.陳麗美、梁麗麗(19950600)。認識遙控後荷式近接放射線治療。榮總護理,12(2),209-212。new window  延伸查詢new window
7.Nydahl, P. A.、Axelsson, K.(1988)。Venous blood concentration of lidocaine after nasopharyngeal application of 2% lidocaine gel。Acta Anesthesiology Scand,32,135-139。  new window
8.Wagner, R. R. Jr.、Flores, C. A.、Argo, L. F.(1994)。A double-blind placebo controlled study of a 5% lidocaine / prilocainine cream ( EMLA ) for topical anesthesia during thermolysis。Journal of Dermatol Surgery and Oncology,20(2),148-150。  new window
9.Strang, P.、Qvarner, H.(1990)。Cancer related pain and its influence on quality of life。Anticancer Research,10(1),109-112。  new window
10.Spross, J.(1985)。Cancer pain and suffering. Clinical lessons from life, literature, and legend。Oncology Nursing Forum,12(4),23-31。  new window
11.Scott, J.、Haskisson, E. C.(1976)。Graphic representation of pain。Pain,2(2),175-184。  new window
圖書
1.陳長安(1989)。臨床藥物治療手冊。台北:合記。  延伸查詢new window
2.許永堅(1987)。藥理學。台北:合記。  延伸查詢new window
3.王躬仁、謝博生(1988)。藥物的副作用與其相互作用。台北:醫文社。  延伸查詢new window
4.譚柱光(1994)。實用藥物治療手冊。台北:金名。  延伸查詢new window
5.趙玫珍、陳光慧、趙玫煌(1988)。手術室護理。台北:藝軒出版社。  延伸查詢new window
6.蔡靖彥(1992)。常用藥品手冊。嘉義:玉山。  延伸查詢new window
7.Morris, D. B.(1991)。The culture of pain。Berkeley:London:University of California Press。  new window
圖書論文
1.Dow, K. H.(1992)。Principles of brachytherapy。Nursing care in radiation oncology。Philadelphia:W. B. Saunders。  new window
 
 
 
 
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