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題名 | 影響遠隔放射線治療皮膚反應的因素及其護理=The Effects and Nursing Care of Teleradiotherapy-Induced Skin Reaction |
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作者 | 陳麗美; 李玉麟; 趙良曉; 梁麗麗; Chen, Li-mei; Lee, Yuh-lin; Chao, Liung-sheau; Liang, Li-li; |
期刊 | 榮總護理 |
出版日期 | 19970900 |
卷期 | 14:3 1997.09[民86.09] |
頁次 | 頁251-256 |
分類號 | 418.94 |
語文 | chi |
關鍵詞 | 遠隔放射線治療; 皮膚反應; 輻射劑量; Teleradiotherapy; Skin reaction; Radiation dosage; |
中文摘要 | 1945年以後,在戰時從事原子能軍事用途的放射線科學家,轉投入原子能的和平 用途行列,加上相關儀器的發展助長了放射線醫學的進步。 1951 年全世界第一部鈷六十治 療機於加拿大醫院首先應用於臨床後,陸續有新核種和機種的治療機及產生高能X射線和電 子射線( electron beam )的直線加速器( linear accelerator )治療機加入放射線治 療的行列。使用放射線來治療癌症已逐漸被大眾接受。由於遠隔放射線治療時放射線穿過治 療部位的皮膚再到達腫瘤病灶處,因此不可避免對治療部位的皮膚造成傷害。治療總劑量、 每日劑量、放射線能量、射源到皮膚的距離、治療方法、治療部位、治療方向、照野大小、 病人基本狀況等,都將影響皮膚反應的程度。而適當的護理措施可預防或減少皮膚反應的發 生。 |
英文摘要 | After 1945, scientists developed new non-military uses for atomic energy. Medical applications of atomic energy technology multiplied. The first cobalt-60 machine was built in a Canadian hospital in 1951. Later, many new isotopes and high-energy linear accelerators producing X-rays and electron beams were employed in radiation therapy. Treating cancer with high-energy radiation has now become widespread. This kind of treatment modality, however, may induce skin reactions. Many factors can affect the prognosis: total radiation dosage, daily radiation dosage, radiation energy, source-to-skin distance, treatment technique, treatment position, treatment orientation, field size and patient condition. Thus the best nursing care is needed to reduce the skin reaction. |
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