【摘要】 目的：分析头颈部肿瘤放疗期间黏膜反应的预防及护理对策。方法：随机抽取于笔者所在医院治疗的头颈部肿瘤患者98例为本次调查主体，均以放疗为治疗手段，按照入院时间的先后顺序分成两组，每组49例。对照组行常规护理干预，观察组接受综合护理预防措施，对比两组口腔黏膜反应情况、护理满意度、临床症状指标及QOL-H&N35评分。结果：干预后，观察组Ⅲ、Ⅳ级黏膜反应发生率均显著低于对照组，差异均有统计学意义(P<0.05);观察组总满意度及QOL-H&N35评分均优于对照组，差异均有统计学意义(P<0.05);观察组黏膜反应首次出现时间迟于对照组，症状持续时间明显短于对照组，差异均有统计学意义(P<0.05)。结论：在头颈部肿瘤患者放疗期间实施综合护理预防措施可减少黏膜反应，保证疾病得到最佳治疗效果。

    【关键词】 预防 护理 头颈部肿瘤 放疗 黏膜反应

    [Abstract] Objective： To analyze the prevention and nursing strategies of mucosal reaction during radiotherapy of head and neck tumors. Method： A total of 98 patients with head and neck tumors who were treated in our hospital were randomly selectedas subjects of this investigation. The two groups were treated with radiotherapy. According to the order of admission ......