标题：21例肿瘤并发疥疮患者的临床特征与护理对策

      作者：曾鲜艳 1，刘满英 2，黄超红 1    (中国人民解放军第四二二医院肿瘤科 1、五官科 2，广东 湛江 524005)

      卷次： 2018年29卷17期

      【摘要】 目的 总结肿瘤并发疥疮患者的临床特征、排查方法与护理对策，以为临床上疥疮的诊治、护理提供指导。方法 选择解放军第四二二医院肿瘤科2015年8月至2017年8月期间收治的21例肿瘤并发疥疮患者为研究对象，所有患者均由我科制定的疥疮患者疥疮排查评分表筛查后确诊，该表主要依据头发(长度、洁净度)、指甲(长度、洁净度)、服装(洁净度)、皮肤瘙痒、出疹等方面组成，同时进行积极的治疗及护理干预。结果 21例肿瘤并发疥疮的患者入院后，疥疮均得到了及时有效的治疗，疥疮的平均治愈时间为(11.4±2.3) d。家属、医务人员零感染。结论 疥疮排查评分表能够有效地对非皮肤专科患者进行排查，采取积极的护理干预措施可以有效地预防疥疮传播。
      【关键词】 疥疮；排查；预防；护理
      【中图分类号】 R473.73 【文献标识码】 A 【文章编号】 1003—6350（2018）17—2507—03

Clinical characteristics and nursing countermeasures of 21 patients with tumors complicating scabies.
ZENGXian-yan 1, LIU Man-ying 2, HUANG Chao-hong 1. Department of Oncology 1, Department of ENT 2, No. 422 Hospital ofChinese PLA, Zhanjiang 524005, Guangdong, CHINA
【Abstract】 Objective To summarize the clinical characteristics, investigation method and nursing countermea-sures of patients with tumors complicating scabies, and to provide guidance for the diagnosis and treatment of scabies inclinic. Methods A total of 21 patients with tumors complicating scabies treated in Department of Oncology, No. 422Hospital of Chinese PLA from August 2015 to August 2017 were selected as research subjects. All the patients werescreened by self-made Scabies Investigation Scale for diagnosis, including hair (length, cleanliness), nail (length,cleanliness), clothing (cleanliness), skin itching, rash. At the same time, active treatment and positive nursing interven-tion were implemented. Results All the 21 patients received timely and effective treatment after admission. The aver-age healing time of scabies was (11.4±2.3) days. No infection was found in the family members and medical staff.Conclusion The self-made Scabies Investigation Scale can effectively screen the disease among non-dermatologicalpatients, and nursing interventions can effectively prevent the spread of scabies.
      【Key words】 Scabies; Investigation; Prevention; Nursing·护 理·doi:10.3969/j.issn.1003-6350.2018.17.042基金项目：全军2014年度科研项目(编号：14QNP048)