Fromantin I, Lesport G, Le Mée M
Unité plaies et cicatrisation, département d'anesthésie-réanimation-douleur, institut Curie, 26, rue d'Ulm, 75005 Paris, France; Chaire de recherche en sciences infirmières, laboratoire éducations et pratiques de santé (LEPS) EA 3412, UFR santé-médecine-biologie humaine, université Paris 13, 74, rue Marcel-Cachin, 93017, Bobigny cedex, France.
Département de radiothérapie, institut Curie, 26, rue d'Ulm, 75005 Paris, France.
Cancer Radiother. 2015 Oct;19(6-7):543-7. doi: 10.1016/j.canrad.2015.06.007. Epub 2015 Sep 3.
No consensual guidelines exist regarding the management of early effects of radiotherapy. But preventive and curative care strategies could be adapted in the aim to delay erythema, limit complications and improve patients' comfort. Prevention involves encouraging patients to take care of their skin, avoid moisture, frictions, sun exposition and dry soap. When these rules seem insufficient, products (dressings, solution, or cream) could be prescribed, according to the individual risk of each patient. Preventive measures are accentuated when radiodermatitis appears and/or topics indicated for wound healing could be applied. Care (education, dressing, observation) needs a multidisciplinary approach. Improvements of radiotherapy treatments (methods, techniques) have been the most effective evolution on radiodermatitis.
关于放射治疗早期效应的管理,目前尚无共识性指南。但可以采用预防和治疗护理策略,以延缓红斑出现、限制并发症并提高患者舒适度。预防措施包括鼓励患者保护皮肤,避免潮湿、摩擦、日晒以及使用碱性肥皂。当这些措施似乎不够时,可根据每位患者的个体风险开具相关产品(敷料、溶液或乳膏)。当出现放射性皮炎和/或可应用促进伤口愈合的局部用药时,需强化预防措施。护理(教育、换药、观察)需要多学科方法。放射治疗(方法、技术)的改进是放射性皮炎治疗方面最有效的进展。