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更新了辐射引起的腹的干预措施:将证据与瘤护理学会实践
Tracy Ruegg1, Evelyn Wempe2, Margaret Wright3
1Tracy Ruegg.
建议使用益生菌治疗辐射诱导腹 (RID),这是盆腔辐射的常见副作用. 有证据表明,益生菌在最小的不良事件下是有效的,为接受癌症治疗的患者提供了一种新的干预措施.
科学领域:
- 在瘤学瘤学.
- 胃肠病学 胃肠病学
- 基于证据的实践实践.
背景情况:
- 辐射诱导性腹 (RID) 是腹部和骨盆放射治疗的重要和令人痛苦的副作用.
- 对RID的有效干预对于改善癌症治疗期间患者的生活质量至关重要.
研究的目的:
- 审查和更新瘤护理学会 (ONS) 关于管理辐射诱导腹的建议.
- 为预防和治疗RID的干预提供基于证据的指导.
主要方法:
- 主要干预研究的系统审查,系统审查和临床实践指南.
- 根据研究质量,结果大小和研究间的协议对证据进行分类.
主要成果:
- 益生菌被推用于实践,因为总是报告的有利影响和最小的不良事件.
- 营养补充剂没有被证明是有效的;硫素不太可能是有效的.
- 发现SpaceOARTM在前列腺癌患者中有效但需要谨慎.
结论:
- 益生菌是治疗辐射引起的腹的一种推干预措施.
- 更新的ONS指南应包含支持RID用益生菌的证据.
- 进一步的研究可能会澄清营养补充和其他干预措施的作用.
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