放射性核素治疗胃肠胰神经内分泌肿瘤:实践与经验

Treatment of Gastrointestinal and Pancreatic Neuroendocrine Neoplasms by Radionuclide Therapy: Practice and Experience

  • 摘要: 肽受体放射性核素治疗(peptide receptor radionuclide therapy,PRRT)可缓解神经内分泌肿瘤(neuroendocrine neoplasms, NENs)患者症状、提高患者生活质量,且治疗耐受性良好,是NENs目前先进的治疗方法之一。由于该治疗在国内刚起步,如何为PRRT患者提供规范、高效、优质的治疗服务尚存在诸多值得商榷之处。本文在参考国外指南和临床规范的基础之上,结合西南医科大学附属医院开展177Lu-DOTATATE治疗NENs的实践经验,总结相关治疗要点、常见不良反应预防及患者心理干预措施,以期为临床诊疗提供借鉴。

     

    Abstract: Peptide receptor radionuclide therapy (PRRT) is one of the advanced therapies for neuroendocrine neoplasms (NENs), which can relieve the symptoms and improve the quality of life of patients with NENs with good tolerance to the treatment.However, since this treatment method has just started in China, how to implement standardized, efficient and high-quality nursing services for patients undergoing PRRT is still worth discussing. By referring to related international guidelines and clinical nursing standards, and combining our experience in the treatment of NENs using 177Lu-DOTATATE, we proposed the key nursing points during the treatment process, and elaborated how to prevent common adverse reactions and undergo psychological intervention, in hope of the related personnel being able to provide more safe treatment and to improve nursing security.

     

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