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神经胶质瘤:分类、治疗及未来发展路径

Glial neoplasms: classification, treatment, and pathways for the future.

作者信息

Armstrong T S, Gilbert M R

机构信息

Department of Neurology, Emory University, Atlanta, GA, USA.

出版信息

Oncol Nurs Forum. 1996 May;23(4):615-25; quiz 626-7.

PMID:8735320
Abstract

PURPOSE/OBJECTIVES: To provide a review of glial neoplasms including histologic classification, signs and symptoms, diagnostic evaluation, treatment options, and nursing care.

DATA SOURCES

Articles, books, proceedings of national meetings.

DATA SYNTHESIS

Glial neoplasms vary according to prognosis and treatment options based on histologic classifications. Prediction of deficits and potential complications of disease and treatment can prepare the patient and healthcare provider in management. Treatment options include surgery, radiation therapy, and chemotherapy or combinations of these options. New treatment regimes currently are being investigated.

CONCLUSIONS

Despite advances in the diagnosis and treatment of malignant gliomas, the outlook remains poor. As new combination treatment regimens become available, nursing care will significantly affect outcome and quality of life.

IMPLICATIONS FOR NURSING PRACTICE

Goals of nursing care include prevention and education related to tumor- and treatment-related side effects, providing support and coordinating referrals to appropriate services during the disease process, and helping the patient and family cope with this devastating disease.

摘要

目的/目标:对神经胶质瘤进行综述,包括组织学分类、体征和症状、诊断评估、治疗选择及护理。

资料来源

文章、书籍、全国会议论文集。

资料综合

神经胶质瘤根据组织学分类,在预后和治疗选择方面存在差异。对疾病及治疗的缺陷和潜在并发症进行预测,可为患者及医护人员的管理工作做好准备。治疗选择包括手术、放射治疗、化疗或这些方法的联合应用。目前正在研究新的治疗方案。

结论

尽管恶性神经胶质瘤的诊断和治疗取得了进展,但预后仍然不佳。随着新的联合治疗方案的出现,护理将对治疗结果和生活质量产生重大影响。

对护理实践的启示

护理的目标包括预防和开展与肿瘤及治疗相关副作用的教育,在疾病过程中提供支持并协调转介至适当的服务机构,以及帮助患者和家属应对这种毁灭性疾病。

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Glial neoplasms: classification, treatment, and pathways for the future.神经胶质瘤:分类、治疗及未来发展路径
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