Preventive and therapeutic effects of rhEGF gel on radiation-induced oral mucositis:A clinical observation
10.16571/j.cnki.1008-8199.2018.01.012
- VernacularTitle:重组人表皮生长因子凝胶防治放射性口腔黏膜炎的临床疗效观察
- Author:
Sheng-Lin ZHANG
1
;
Da-Cang ZHONG
;
Guan-Nan ZHANG
;
Shu-Ping WANG
;
Xing-Yan WANG
;
Yu-Jing HAO
;
Qing-Shan LI
Author Information
1. 承德医学院附属医院肿瘤科
- Keywords:
oral mucositis;
oral cavity cancer;
radiotherapy;
recombinant human epidermal growth factor
- From:
Journal of Medical Postgraduates
2018;31(1):56-59
- CountryChina
- Language:Chinese
-
Abstract:
Objective Few studies are reported on the prevention and management of oral mucositis(OM) induced by post-operative radiotherapy in patients with oral cavity cancer.This study aimed to investigate the therateutic effect of the recombinant human epidermal growth factor(rhEGF) gel on radiation-induced OM. Methods Sixty-eight cases of radiation-induced OM after surgery for oral cavity cancer were randomly divided into an experimental and a control group of equal number,the former treated with rhEGF gel while the latter with borax mouthwash. Comparisons were made between the two groups of patients in the severity of oral cavity mucous membrane injury,the intensity of radiation-induced oral pain,the in-cidence of oral cavity infection, and the duration of radiotherapy. Results At 3 weeks of radiotherapy,the patients of the experimental group showed mainly mild and moderate OM while the controls chiefly moderate and severe OM,and at 6 weeks,the former exhibited mainly moderate while the latter chiefly severe OM, with statistically significant differences in the incidence rate between the two groups (P<0.01). The experimental group, compared with the controls, had a significantly higher incidence rate of grade-Ⅰ radiation-induced pain (47.1% vs 20.6%,P<0.01),but lower rates of grade-Ⅱ(17.6% vs 32.4%,P<0.01) and grade-Ⅲpain(2.9% vs 20.6%,P<0.01).The rates of oral infection and antibiotics medication were remarkably lower in the experimental group than in the controls(23.5% vs 38.2% and 11.8% vs 26.5%,P<0.05),and the duration of radiotherapy was markedly shorter in the former than in the latter ([42.37±3.14] d vs [48.47±4.39] d, P<0.05). Conclusion The rhEGF gel can significantly reduce the severity of radiation-induced oral mucositis,improve its symptoms,and shorten the time of postoperative radiotherapy for patients with oral cavity cancer.
