ISSN 2097-5724 CN 61-1535/R 主管·主办:陕西省疾病预防控制中心
疾病预防与控制 Disease Prevention and Control 医学学术期刊 双月刊
2026-05-001 综述 2026, 2(05): 1-4

肺癌患者放射性肺炎临床护理的研究进展

华中科技大学同济医学院附属同济医院

22下载次数 0被引频次 63阅读次数 23参考文献
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摘要

在我国,肺癌的发病形势极为严峻,其发病率和死亡率均呈持续上升趋势,已成为严重威胁国民健康的重大公共卫生问题。放射性肺炎是胸部恶性肿瘤经放射治疗后常见的剂量限制性毒性反应,对于正常肺组织而言,常规放疗20 Gy后即可产生永久性的损伤,早期肺癌临床症状并不明显,确诊时多数患者已经处于中晚期阶段,手术治疗无法取得良好效果,临床多应用放化疗联合治疗患者。虽然化疗能够在一定程度上缓解患者病程,使患者生存周期得到有效延长,但是其药物刺激时间相对较长,放化疗联合治疗过程中患者所出现的不良反应存在一定差异,极易导致患者出现放射性肺炎,致使肿瘤治疗受到影响,甚至还会威胁患者生命安全。基于此,本研究通过文献的整合,对肺癌特征进行了分析,随后对放射性肺炎进行分级和评价,并提出护理措施,从而为临床的应用提供参考。

Abstract

In China, the incidence of lung cancer is more serious. Both the incidence rate and the mortality rate continue to rise, which has become a major public health problem that seriously threatens the national health. Radiation pneumonitis is a common dose limiting toxic reaction after radiotherapy for chest malignant tumors. For normal lung tissue, conventional radiotherapy of 20 Gy can cause permanent damage. Early clinical symptoms of lung cancer are not obvious, and most patients are already in the middle and late stages of lung cancer at the time of diagnosis. Surgical treatment cannot achieve good results, and clinical use of radiotherapy chemotherapy combination therapy is often used to treat patients. Although chemotherapy can alleviate patients' diseases to a certain extent and effectively prolong their survival cycle, its drug stimulation is relatively long. The adverse reactions that occur in patients during the combination of radiotherapy and chemotherapy can vary, which can easily lead to radiation pneumonitis and affect tumor treatment. In severe cases, it can also threaten the safety of patients' lives. Based on this, this study analyzed the characteristics of lung cancer through literature integration, followed by grading and evaluation of radiation pneumonitis, and proposed nursing measures to provide reference for clinical application.

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[1]罗洁,李倩倩.肺癌患者放射性肺炎临床护理的研究进展[J].疾病预防与控制,2026,2(05):1-4.