脑转移瘤患者的症状管理与支持性护理

Symptom management and supportive care of the patient with brain metastases.

作者信息

Newton Herbert B

机构信息

Dardinger Neuro-Oncology Center, Department of Neurology, Ohio State University Hospitals, Columbus, OH 43210, USA.

出版信息

Cancer Treat Res. 2007;136:53-73. doi: 10.1007/978-0-387-69222-7_4.

DOI:10.1007/978-0-387-69222-7_4

PMID:18078265

Abstract

The focus of care for patients with brain metastases will always be on therapeutic options such as surgery, radiotherapy, and chemotherapy. However, proper symptom management and supportive care of non-therapeutic issues will be equally as important, including treatment of seizures, use of anticonvulsants, corticosteroids, and gastric acid inhibitors, assessment of swallowing dysfunction, treatment of thromboembolic events, appropriate use, and safe application of anticoagulation, and evaluation of psychiatric issues. Appropriate management of these supportive aspects of patient care will improve overall quality of life and allow the patient and family to more easily concentrate on treatment.

摘要

脑转移瘤患者的护理重点始终是手术、放疗和化疗等治疗选择。然而，对非治疗性问题进行适当的症状管理和支持性护理同样重要，包括癫痫治疗、抗惊厥药、皮质类固醇和胃酸抑制剂的使用、吞咽功能障碍评估、血栓栓塞事件的治疗、抗凝的合理使用和安全应用，以及精神问题评估。对患者护理的这些支持性方面进行适当管理将提高整体生活质量，并使患者及其家人更轻松地专注于治疗。