CAR-T细胞椎管内注射治疗复发胶质瘤患者的护理
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女,硕士,副主任护师

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国家自然科学基金资助项目(81602183)


Nursing care of patients with recurrent glioblastoma treated with intraspinal injection of CAR-T cells
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    摘要:

    对8例复发胶质瘤患者行CAR-T细胞椎管内注射治疗。在常规护理的基础上密切观察和积极救治细胞因子释放综合征及中枢神经系统毒性反应,精心护理皮肤损害,细化腰大池置管护理和心理支持。结果8例患者顺利完成疗程,治疗相关并发症得到有效控制; 5例病情好转出院,3例病情进展(2例出院,1例再次手术)。个体化精细护理有助于患者顺利完成治疗。

    Abstract:

    Eight patients with recurrent glioblastoma were treated with intraspinal injection of chimeric antigen receptor (CAR) T cells. We provided not only routine nursing care but also intensive monitoring of cytokine release syndrome and neurotoxicity, care of skin damage, care of the lumbar cistern catheter and psychological support. All patients successfully completed the treatment, and their treatment-related complications were effectively controlled. Five patients were discharged with improvement and 3 progressed (of whom 2 were discharged and 1 had a second operation). It is suggested that individualized nursing care is helpful to patients to successfully complete the treatment.

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张娜,陈延明. CAR-T细胞椎管内注射治疗复发胶质瘤患者的护理[J].护理学杂志,2023,28(12):39-42

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  • 收稿日期:2023-01-28
  • 最后修改日期:2023-03-16
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  • 在线发布日期: 2023-12-29