@article{oai:niigata-u.repo.nii.ac.jp:00025447, author = {大岩, 典代 and 藤田, 一 and Stegaroiu, Roxana and 小野, 和宏}, issue = {1}, journal = {新潟歯学会雑誌, 新潟歯学会雑誌}, month = {Jun}, note = {近年,口腔癌放射線治療で患者QOL を維持するために,口腔ケアの重要性が指摘されている。今回,舌部分切除術ならびに全頸部郭清術後の放射線治療患者に対し,放射線照射前から終了後まで継続して口腔ケアを実施し,患者QOL の変化を追った1例を経験した。本症例では,口内炎は10Gy 照射時より認められたものの,40Gy 照射時からは軽減し,治療期間を通して深い潰瘍形成や高度な疼痛はみられなかった。また,誤嚥性肺炎を発症することはなかった。さらに,「機能的な問題」「痛み」「不快感」「困りごと」の4領域,38 項目からなる口腔保健関連QOL 尺度を調査したところ,その低下も認められなかった。本症例の放射線治療において口腔ケアを行ったことは,患者QOL の観点から有用であったと考えられた。, In recent years, the importance of oral health-related quality of life (QOL) in patients undergoing radiotherapy has been pointed out. The purposes of this study were to report on the implementation of oral care and to investigate its effect on the QOL of a patient undergoing radiotherapy, after partial glossotomy and neck dissection, over a time span that started before radiotherapy and ended at his release from hospital. In this case, radiation stomatitis was diagnosed when the patient received 10Gy radiation, but symptoms relieved when he received 40Gy radiation. In this case, aggravation ulcers and exacerbation of pain did not occur during therapy. Moreover, this patient did not develop aspiration pneumonia. Furthermore, during the study, oral health-related QOL as investigated by 38-items in the fields of "Functional Problem", "Pain", "Uncomfortable Feeling" and "Difficulties" did not show any deterioration. Therefore, the implementation of oral care in this radiotherapy patient is considered to be useful from the point of view of patient's oral health-related QOL.}, pages = {65--72}, title = {口腔癌放射線治療患者に対し口腔ケアを行った経験 : 患者QOL からみた口腔ケアの有用性に関する検討}, volume = {40}, year = {2010} }