Article(id=1322630829478621281, tenantId=1146029695717560320, journalId=1220038315760373764, issueId=1322630794611380728, articleNumber=null, orderNo=null, doi=10.12102/j.issn.1009-6493.2026.18.028, pmid=null, cstr=null, oa=null, hot=null, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=null, receivedDate=1764691200000, receivedDateStr=2025-12-03, revisedDate=1782144000000, revisedDateStr=2026-06-23, acceptedDate=null, acceptedDateStr=null, onlineDate=1793269363039, onlineDateStr=2026-10-29, pubDate=1790265600000, pubDateStr=2026-09-25, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1793269363039, onlineIssueDateStr=2026-10-29, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1793269363039, creator=13701087609, updateTime=1793269363039, updator=13701087609, issue=Issue{id=1322630794611380728, tenantId=1146029695717560320, journalId=1220038315760373764, year='2026', volume='40', issue='18', pageStart='3153', pageEnd='3344', issueExtLink='null', onlineDate='null', pubDate='1790265600000', pubDateStr='2026-09-25', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=1, specialIssue=null, createTime=1793269354727, creator='13701087609', updateTime=1793343080645, updator='13701087609', preIssue=null, nextIssue=null, articleTotal=null, ext={EN=IssueExt(id=1322940023645011984, tenantId=1146029695717560320, journalId=1220038315760373764, issueId=1322630794611380728, language=EN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=), CN=IssueExt(id=1322940023645011985, tenantId=1146029695717560320, journalId=1220038315760373764, issueId=1322630794611380728, language=CN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=)}, issueFiles=null, downloadFileDto=null}, startPage=3340, endPage=3344, ext={EN=ArticleExt(id=1322630829721890914, articleId=1322630829478621281, tenantId=1146029695717560320, journalId=1220038315760373764, language=EN, title=Application progress of cryotherapy for chemotherapy-induced oral mucositis in patients with hematologic malignancies, columnId=1220689485315101342, journalTitle=Chinese Nursing Research, columnName=Review Articles, runingTitle=null, highlight=null, articleAbstract=

This article provides an overview of oral mucositis,summarizes the clinical characteristics of chemotherapy-related oral mucositis in patients with hematologic malignancies,discusses the mechanism of action of cryotherapy on oral mucositis,and reviews the current status of cryotherapy for chemotherapy-induced oral mucositis in patients with hematologic malignancies.Optimizations suggestions for clinical application are also proposed,so as to provide a reference for nursing practice.

, authors=Tianrui JIN1, Jiafang ZHANG2, Lei WANG1, authorsList=Tianrui JIN, Jiafang ZHANG, Lei WANG, authorCompany=null, correspAuthors=Lei WANG, authorNote=null, correspAuthorsNote=null, copyrightStatement=null, copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=null, pdfFileSize=null, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=null, mapNumber=null, fund=null), CN=ArticleExt(id=1322630830141321315, articleId=1322630829478621281, tenantId=1146029695717560320, journalId=1220038315760373764, language=CN, title=低温疗法在血液肿瘤病人化疗后口腔黏膜炎中的应用进展, columnId=1220689485482873504, journalTitle=护理研究, columnName=科研综述, runingTitle=null, highlight=null, articleAbstract=

对口腔黏膜炎进行概述,总结血液肿瘤病人化疗相关口腔黏膜炎的临床特征、低温疗法对口腔黏膜炎的作用机制、低温疗法在血液肿瘤病人化疗后口腔黏膜炎中的应用现状,并提出临床应用优化建议,以期为护理实践提供参考。

, authors=靳天瑞1, 张家芳2, 王磊1, *, *, authorsList=靳天瑞, 张家芳, 王磊, authorCompany=null, correspAuthors=王磊, authorNote=

靳天瑞,硕士研究生

, correspAuthorsNote=
王磊,E-mail:
WANG Lei, E-mail:
, copyrightStatement=除非特别声明,本刊刊出的所有文章不代表本刊编委会的观点。, copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=pASypLEvIesHosUlXzFZMg==, magXml=P+hIl6iXB4khLWq51O26QA==, pdfUrl=null, pdf=null, pdfFileSize=null, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=euvZ06mi6fAz3TUZWoLswQ==, mapNumber=null, fund=null)}, authors=[Author(id=1322630830564946027, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, orderNo=0, firstName=null, middleName=null, lastName=null, nameCn=null, orcid=null, stid=null, country=null, authorPic=null, dead=0, email=null, emailSecond=null, emailThird=null, correspondingAuthor=0, authorType=1, ext={EN=AuthorExt(id=1322630830632054893, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, authorId=1322630830564946027, language=EN, stringName=Tianrui JIN, firstName=Tianrui, middleName=null, lastName=JIN, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=1, address=1Nursing College of Shanxi Medical University, Shanxi 030000 China, bio=null, bioImg=null, bioContent=null, aboutCorrespAuthor=null), CN=AuthorExt(id=1322630830699163758, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, authorId=1322630830564946027, language=CN, stringName=靳天瑞, firstName=null, middleName=null, lastName=null, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=1, address=1山西医科大学护理学院,山西 030000, bio={"content":"

靳天瑞,硕士研究生

"}, bioImg=null, bioContent=

靳天瑞,硕士研究生

, aboutCorrespAuthor=null)}, companyList=[AuthorCompany(id=1322630830401368164, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, xref=1, ext=[AuthorCompanyExt(id=1322630830409756773, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, companyId=1322630830401368164, language=EN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=1Nursing College of Shanxi Medical University, Shanxi 030000 China), AuthorCompanyExt(id=1322630830418145382, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, companyId=1322630830401368164, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=1山西医科大学护理学院,山西 030000)])]), Author(id=1322630830757884016, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, orderNo=1, firstName=null, middleName=null, lastName=null, nameCn=null, orcid=null, stid=null, country=null, authorPic=null, dead=0, email=null, emailSecond=null, emailThird=null, correspondingAuthor=0, authorType=1, ext={EN=AuthorExt(id=1322630830837575794, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, authorId=1322630830757884016, language=EN, stringName=Jiafang ZHANG, firstName=Jiafang, middleName=null, lastName=ZHANG, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=2, address=2School of Nursing Jinan University, bio=null, bioImg=null, bioContent=null, aboutCorrespAuthor=null), CN=AuthorExt(id=1322630830900490355, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, authorId=1322630830757884016, language=CN, stringName=张家芳, firstName=null, middleName=null, lastName=null, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=2, address=2暨南大学护理学院, bio=null, bioImg=null, bioContent=null, aboutCorrespAuthor=null)}, companyList=[AuthorCompany(id=1322630830481059943, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, xref=2, ext=[AuthorCompanyExt(id=1322630830489448552, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, companyId=1322630830481059943, language=EN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=2School of Nursing Jinan University), AuthorCompanyExt(id=1322630830493642857, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, companyId=1322630830481059943, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=2暨南大学护理学院)])]), Author(id=1322630830971793525, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, orderNo=2, firstName=null, middleName=null, lastName=null, nameCn=null, orcid=null, stid=null, country=null, authorPic=null, dead=0, email=66883116@qq.com, emailSecond=null, emailThird=null, correspondingAuthor=1, authorType=1, ext={EN=AuthorExt(id=1322630831118594167, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, authorId=1322630830971793525, language=EN, stringName=Lei WANG, firstName=Lei, middleName=null, lastName=WANG, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=1, address=1Nursing College of Shanxi Medical University, Shanxi 030000 China, bio=null, bioImg=null, bioContent=null, aboutCorrespAuthor=null), CN=AuthorExt(id=1322630831181508728, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, authorId=1322630830971793525, language=CN, stringName=王磊, firstName=null, middleName=null, lastName=null, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=1, *, *, address=1山西医科大学护理学院,山西 030000, bio=null, bioImg=null, bioContent=null, aboutCorrespAuthor=null)}, companyList=[AuthorCompany(id=1322630830401368164, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, xref=1, ext=[AuthorCompanyExt(id=1322630830409756773, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, companyId=1322630830401368164, language=EN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=1Nursing College of Shanxi Medical University, Shanxi 030000 China), AuthorCompanyExt(id=1322630830418145382, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, companyId=1322630830401368164, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=1山西医科大学护理学院,山西 030000)])])], keywords=[Keyword(id=1322630831277977721, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, language=EN, orderNo=1, keyword=cryotherapy), Keyword(id=1322630831340892282, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, language=EN, orderNo=2, keyword=hematologic malignancies), Keyword(id=1322630831412195451, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, language=EN, orderNo=3, keyword=chemotherapy), Keyword(id=1322630831470915708, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, language=EN, orderNo=4, keyword=oral mucositis), Keyword(id=1322630831533830269, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, language=EN, orderNo=5, keyword=nursing), Keyword(id=1322630831600939134, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, language=EN, orderNo=6, keyword=review), Keyword(id=1322630831676436607, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, language=CN, orderNo=1, keyword=低温疗法), Keyword(id=1322630831756128384, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, language=CN, orderNo=2, keyword=血液肿瘤), Keyword(id=1322630833421267073, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, language=CN, orderNo=3, keyword=化疗), Keyword(id=1322630833484181634, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, language=CN, orderNo=4, keyword=口腔黏膜炎), Keyword(id=1322630833551290499, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, language=CN, orderNo=5, keyword=护理), Keyword(id=1322630833622593668, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, language=CN, orderNo=6, keyword=综述)], refs=[Reference(id=1322630833941360775, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, doi=null, pmid=null, pmcid=null, year=2020, volume=19, issue=2, pageStart=180, pageEnd=191, url=null, language=null, rfNumber=1, rfOrder=0, authorNames=Muhammad R T, Alzubaidee A F, journalName=Diyala Journal of Medicine, refType=null, unstructuredReference=Muhammad R T,Alzubaidee A F.Oral complications of cancer medication in hemato-oncologic patients[J].Diyala Journal of Medicine,2020,19(2):180-191., articleTitle=Oral complications of cancer medication in hemato-oncologic patients, refAbstract=null), Reference(id=1322630834104938632, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, doi=null, pmid=null, pmcid=null, year=2021, volume=57, issue=4, pageStart=373, pageEnd=383, url=null, language=null, rfNumber=2, rfOrder=1, authorNames=Popović N, Mravak Stipetić M, Lelas A, journalName=Medicina Fluminensis, refType=null, unstructuredReference=Popović N,Mravak Stipetić M,Lelas A,et al.Prevencija i liječenje mukozitisa u bolesnika sa zloćudnim hematološkim bolestima:pregled područja i stav Hrvatske kooperativne grupe za hematološke bolesti(KROHEM)[J].Medicina Fluminensis,2021,57(4):373-383., articleTitle=Prevencija i liječenje mukozitisa u bolesnika sa zloćudnim hematološkim bolestima:pregled područja i stav Hrvatske kooperativne grupe za hematološke bolesti(KROHEM), refAbstract=null), Reference(id=1322630834188824713, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, doi=null, pmid=null, pmcid=null, year=2024, volume=23, issue=3, pageStart=310, pageEnd=315, url=null, language=null, rfNumber=3, rfOrder=2, authorNames=王东莉, 范继燕, 周蕾, journalName=中国感染控制杂志, refType=null, unstructuredReference=王东莉,范继燕,周蕾,等.三种干预方法在急性淋巴细胞白血病大剂量甲氨蝶呤化疗性口腔黏膜炎中的应用及临床经济学评价[J].中国感染控制杂志,2024,23(3):310-315., articleTitle=三种干预方法在急性淋巴细胞白血病大剂量甲氨蝶呤化疗性口腔黏膜炎中的应用及临床经济学评价, refAbstract=null), Reference(id=1322630834255933578, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, doi=null, pmid=null, pmcid=null, year=2023, volume=21, issue=23, pageStart=36, pageEnd=37, url=null, language=null, rfNumber=4, rfOrder=3, authorNames=王莹, journalName=青春期健康, refType=null, unstructuredReference=王莹.青少年放化疗期间的口腔黏膜炎不容忽视[J].青春期健康,2023,21(23):36-37., articleTitle=青少年放化疗期间的口腔黏膜炎不容忽视, refAbstract=null), Reference(id=1322630834323042443, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, doi=null, pmid=null, pmcid=null, year=2025, volume=52, issue=5, pageStart=248, pageEnd=252, url=null, language=null, rfNumber=5, rfOrder=4, authorNames=胡凤林, 吴国琳, journalName=中国肿瘤临床, refType=null, unstructuredReference=胡凤林,吴国琳.肿瘤治疗相关性口腔黏膜炎的发病机制和诊疗进展[J].中国肿瘤临床,2025,52(5):248-252., articleTitle=肿瘤治疗相关性口腔黏膜炎的发病机制和诊疗进展, refAbstract=null), Reference(id=1322630834385957004, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, doi=null, pmid=null, pmcid=null, year=2007, volume=13, issue=18, pageStart=1388, pageEnd=1390, url=null, language=null, rfNumber=6, rfOrder=5, authorNames=张文陆, 宇长青, 王言, journalName=医学综述, refType=null, unstructuredReference=张文陆,宇长青,王言.放化疗引起的口腔黏膜炎的病理基础和诊断概况[J].医学综述,2007,13(18):1388-1390., articleTitle=放化疗引起的口腔黏膜炎的病理基础和诊断概况, refAbstract=null), Reference(id=1322630834536951949, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, doi=null, pmid=null, pmcid=null, year=2019, volume=5, issue=5, pageStart=285, pageEnd=307, url=null, language=null, rfNumber=7, rfOrder=6, authorNames=Ferreira M N, Ramseier J Y, Leventhal J S, journalName=International Journal of Women's Dermatology, refType=null, unstructuredReference=Ferreira M N,Ramseier J Y,Leventhal J S.Dermatologic conditions in women receiving systemic cancer therapy[J].International Journal of Women's Dermatology,2019,5(5):285-307., articleTitle=Dermatologic conditions in women receiving systemic cancer therapy, refAbstract=null), Reference(id=1322630834608255118, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, doi=null, pmid=null, pmcid=null, year=2014, volume=2014, issue=1, pageStart=581795, pageEnd=null, url=null, language=null, rfNumber=8, rfOrder=7, authorNames=Wong H M, journalName=The Scientific World Journal, refType=null, unstructuredReference=Wong H M.Oral complications and management strategies for patients undergoing cancer therapy[J].The Scientific World Journal,2014,2014(1):581795., articleTitle=Oral complications and management strategies for patients undergoing cancer therapy, refAbstract=null), Reference(id=1322630834671169679, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, doi=null, pmid=null, pmcid=null, year=2016, volume=18, issue=9, pageStart=1129, pageEnd=1145, url=null, language=null, rfNumber=9, rfOrder=8, authorNames=Maria O M, Shalaby M, Syme A, journalName=Cytotherapy, refType=null, unstructuredReference=Maria O M,Shalaby M,Syme A,et al.Adipose mesenchymal stromal cells minimize and repair radiation-induced oral mucositis[J].Cytotherapy,2016,18(9):1129-1145., articleTitle=Adipose mesenchymal stromal cells minimize and repair radiation-induced oral mucositis, refAbstract=null), Reference(id=1322630834776027280, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, doi=null, pmid=null, pmcid=null, year=2016, volume=null, issue=null, pageStart=null, pageEnd=null, url=null, language=null, rfNumber=10, rfOrder=9, authorNames=Iyer R, journalName=null, refType=null, unstructuredReference=Iyer R.Surgical outcomes in gynaecological oncology[D].London:University College London,2016., articleTitle=Surgical outcomes in gynaecological oncology, refAbstract=null), Reference(id=1322630834939605137, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, doi=null, pmid=null, pmcid=null, year=2015, volume=2, issue=1, pageStart=15, pageEnd=18, url=null, language=null, rfNumber=11, rfOrder=10, authorNames=Azizi A, Alirezaei S, Pedram P, journalName=Rep Radiother Oncol, refType=null, unstructuredReference=Azizi A,Alirezaei S,Pedram P,et al.Efficacy of topical and systemic Vitamin E in preventing chemotherapy-induced oral mucositis[J].Rep Radiother Oncol,2015,2(1):15-18., articleTitle=Efficacy of topical and systemic Vitamin E in preventing chemotherapy-induced oral mucositis, refAbstract=null), Reference(id=1322630835006714002, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, doi=null, pmid=null, pmcid=null, year=2022, volume=23, issue=4, pageStart=501, pageEnd=511, url=null, language=null, rfNumber=12, rfOrder=11, authorNames=Docimo R, Anastasio M D, Bensi C, journalName=European Archives of Paediatric Dentistry, refType=null, unstructuredReference=Docimo R,Anastasio M D,Bensi C.Chemotherapy-induced oral mucositis in children and adolescents:a systematic review[J].European Archives of Paediatric Dentistry,2022,23(4):501-511., articleTitle=Chemotherapy-induced oral mucositis in children and adolescents:a systematic review, refAbstract=null), Reference(id=1322630835073822867, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, doi=null, pmid=null, pmcid=null, year=2016, volume=8, issue=2, pageStart=e201, pageEnd=e209, url=null, language=null, rfNumber=13, rfOrder=12, authorNames=Chaveli-López B, Bagán-Sebastián J V, journalName=Journal of Clinical and Experimental Dentistry, refType=null, unstructuredReference=Chaveli-López B,Bagán-Sebastián J V.Treatment of oral mucositis due to chemotherapy[J].Journal of Clinical and Experimental Dentistry,2016,8(2):e201-e209., articleTitle=Treatment of oral mucositis due to chemotherapy, refAbstract=null), Reference(id=1322630835153514644, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, doi=null, pmid=null, pmcid=null, year=2023, volume=38, issue=5, pageStart=125, pageEnd=129, url=null, language=null, rfNumber=14, rfOrder=13, authorNames=冯雯, 吴德芳, 阮海涛, journalName=护理学杂志, refType=null, unstructuredReference=冯雯,吴德芳,阮海涛,等.血液肿瘤患者化疗相关性口腔黏膜炎的护理研究进展[J].护理学杂志,2023,38(5):125-129., articleTitle=血液肿瘤患者化疗相关性口腔黏膜炎的护理研究进展, refAbstract=null), Reference(id=1322630835237400725, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, doi=null, pmid=null, pmcid=null, year=2018, volume=47, issue=5, pageStart=477, pageEnd=483, url=null, language=null, rfNumber=15, rfOrder=14, authorNames=Walladbegi J, Smith S A, Grayson A K, journalName=Journal of Oral Pathology & Medicine, refType=null, unstructuredReference=Walladbegi J,Smith S A,Grayson A K,et al.Cooling of the oral mucosa to prevent adverse effects of chemotherapeutic agents:an in vitro study[J].Journal of Oral Pathology & Medicine,2018,47(5):477-483., articleTitle=Cooling of the oral mucosa to prevent adverse effects of chemotherapeutic agents:an in vitro study, refAbstract=null), Reference(id=1322630835300315286, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, doi=null, pmid=null, pmcid=null, year=2020, volume=39, issue=1, pageStart=210, pageEnd=null, url=null, language=null, rfNumber=16, rfOrder=15, authorNames=Pulito C, Cristaudo A, Porta C L, journalName=Journal of Experimental & Clinical Cancer Research, refType=null, unstructuredReference=Pulito C,Cristaudo A,Porta C L,et al.Oral mucositis:the hidden side of cancer therapy[J].Journal of Experimental & Clinical Cancer Research,2020,39(1):210., articleTitle=Oral mucositis:the hidden side of cancer therapy, refAbstract=null), Reference(id=1322630835380007063, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, doi=null, pmid=null, pmcid=null, year=2022, volume=36, issue=2, pageStart=285, pageEnd=288, url=null, language=null, rfNumber=17, rfOrder=16, authorNames=刘焕, 强万敏, 沈傲梅, journalName=护理研究, refType=null, unstructuredReference=刘焕,强万敏,沈傲梅,等.口腔低温疗法在化疗相关口腔黏膜炎防治中的研究进展[J].护理研究,2022,36(2):285-288., articleTitle=口腔低温疗法在化疗相关口腔黏膜炎防治中的研究进展, refAbstract=null), Reference(id=1322630835442921624, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, doi=null, pmid=null, pmcid=null, year=2018, volume=22, issue=5, pageStart=555, pageEnd=560, url=null, language=null, rfNumber=18, rfOrder=17, authorNames=Nawi R I M, Chui P L, Ishak W Z W, journalName=Clinical Journal of Oncology Nursing, refType=null, unstructuredReference=Nawi R I M,Chui P L,Ishak W Z W,et al.Oral cryotherapy:prevention of oral mucositis and pain among patients with colorectal cancer undergoing chemotherapy[J].Clinical Journal of Oncology Nursing,2018,22(5):555-560., articleTitle=Oral cryotherapy:prevention of oral mucositis and pain among patients with colorectal cancer undergoing chemotherapy, refAbstract=null), Reference(id=1322630835501641881, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, doi=null, pmid=null, pmcid=null, year=2006, volume=38, issue=9, pageStart=637, pageEnd=638, url=null, language=null, rfNumber=19, rfOrder=18, authorNames=Mori T, Aisa Y, Yamazaki R, journalName=Bone Marrow Transplantation, refType=null, unstructuredReference=Mori T,Aisa Y,Yamazaki R,et al.Cryotherapy for the prevention of high-dose melphalan-induced oral mucositis[J].Bone Marrow Transplantation,2006,38(9):637-638., articleTitle=Cryotherapy for the prevention of high-dose melphalan-induced oral mucositis, refAbstract=null), Reference(id=1322630835572945050, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, doi=null, pmid=null, pmcid=null, year=2006, volume=14, issue=4, pageStart=392, pageEnd=395, url=null, language=null, rfNumber=20, rfOrder=19, authorNames=Mori T, Yamazaki R, Aisa Y, journalName=Supportive Care in Cancer, refType=null, unstructuredReference=Mori T,Yamazaki R,Aisa Y,et al.Brief oral cryotherapy for the prevention of high-dose melphalan-induced stomatitis in allogeneic hematopoietic stem cell transplant recipients[J].Supportive Care in Cancer,2006,14(4):392-395., articleTitle=Brief oral cryotherapy for the prevention of high-dose melphalan-induced stomatitis in allogeneic hematopoietic stem cell transplant recipients, refAbstract=null), Reference(id=1322630835648442523, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, doi=null, pmid=null, pmcid=null, year=2017, volume=37, issue=8, pageStart=1692, pageEnd=1698, url=null, language=null, rfNumber=21, rfOrder=20, authorNames=兰安妮, 高莉萍, 李敏, journalName=临床与病理杂志, refType=null, unstructuredReference=兰安妮,高莉萍,李敏.集束化护理干预在乳腺癌化疗相关性口腔黏膜炎中的应用[J].临床与病理杂志,2017,37(8):1692-1698., articleTitle=集束化护理干预在乳腺癌化疗相关性口腔黏膜炎中的应用, refAbstract=null), Reference(id=1322630835723939996, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, doi=null, pmid=null, pmcid=null, year=2023, volume=23, issue=1, pageStart=654, pageEnd=null, url=null, language=null, rfNumber=22, rfOrder=21, authorNames=Najaf L, Borgvall N, Vennman K, journalName=BMC Oral Health, refType=null, unstructuredReference=Najaf L,Borgvall N,Vennman K,et al.An extraoral approach to intraoral cooling:a feasibility study in non-cancer patients[J].BMC Oral Health,2023,23(1):654., articleTitle=An extraoral approach to intraoral cooling:a feasibility study in non-cancer patients, refAbstract=null), Reference(id=1322630835791048861, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, doi=null, pmid=null, pmcid=null, year=2021, volume=11, issue=1, pageStart=22507, pageEnd=null, url=null, language=null, rfNumber=23, rfOrder=22, authorNames=Jasiński M, Maciejewska M, Brodziak A, journalName=Scientific Reports, refType=null, unstructuredReference=Jasiński M,Maciejewska M,Brodziak A,et al.Ice-cream used as cryotherapy during high-dose melphalan conditioning reduces oral mucositis after autologous hematopoietic stem cell transplantation[J].Scientific Reports,2021,11(1):22507., articleTitle=Ice-cream used as cryotherapy during high-dose melphalan conditioning reduces oral mucositis after autologous hematopoietic stem cell transplantation, refAbstract=null), Reference(id=1322630835879129246, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, doi=null, pmid=null, pmcid=null, year=2021, volume=18, issue=3, pageStart=994, pageEnd=null, url=null, language=null, rfNumber=24, rfOrder=23, authorNames=López-González Á, García-Quintanilla M, Guerrero-Agenjo C M, journalName=International Journal of Environmental Research and Public Health, refType=null, unstructuredReference=López-González Á,García-Quintanilla M,Guerrero-Agenjo C M,et al.Eficacy of cryotherapy in the prevention of oral mucosistis in adult patients with chemotherapy[J].International Journal of Environmental Research and Public Health,2021,18(3):994., articleTitle=Eficacy of cryotherapy in the prevention of oral mucosistis in adult patients with chemotherapy, refAbstract=null), Reference(id=1322630835958821023, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, doi=null, pmid=null, pmcid=null, year=2015, volume=10, issue=5, pageStart=null, pageEnd=null, url=null, language=null, rfNumber=25, rfOrder=24, authorNames=Wang L, Gu Z Y, Zhai R R, journalName=PLoS One, refType=null, unstructuredReference=Wang L,Gu Z Y,Zhai R R,et al.Efficacy of oral cryotherapy on oral mucositis prevention in patients with hematological malignancies undergoing hematopoietic stem cell transplantation:a meta-analysis of randomized controlled trials[J].PLoS One,2015,10(5):e0128763., articleTitle=Efficacy of oral cryotherapy on oral mucositis prevention in patients with hematological malignancies undergoing hematopoietic stem cell transplantation:a meta-analysis of randomized controlled trials, refAbstract=null), Reference(id=1322630836021735584, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, doi=null, pmid=null, pmcid=null, year=2024, volume=24, issue=12, pageStart=1096, pageEnd=1100, url=null, language=null, rfNumber=26, rfOrder=25, authorNames=欧阳成晶, 尹华英, 郭小利, journalName=护理管理杂志, refType=null, unstructuredReference=欧阳成晶,尹华英,郭小利,等.口腔低温疗法对化疗后急性白血病患儿口腔黏膜炎的干预效果研究[J].护理管理杂志,2024,24(12):1096-1100., articleTitle=口腔低温疗法对化疗后急性白血病患儿口腔黏膜炎的干预效果研究, refAbstract=null), Reference(id=1322630836097233057, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, doi=null, pmid=null, pmcid=null, year=2006, volume=37, issue=null, pageStart=1031, pageEnd=1035, url=null, language=null, rfNumber=27, rfOrder=26, authorNames=Lilleby K, Garcia P, Gooley T, journalName=Bone Marrow Transplant, refType=null, unstructuredReference=Lilleby K,Garcia P,Gooley T,et al.A prospective,randomized study of cryotherapy during administration of high-dose melphalan to decrease the severity and duration of oral mucositis in patients with multiple myeloma undergoing autologous peripheral blood stem cell transplantation[J].Bone Marrow Transplant,2006,37:1031-1035., articleTitle=A prospective,randomized study of cryotherapy during administration of high-dose melphalan to decrease the severity and duration of oral mucositis in patients with multiple myeloma undergoing autologous peripheral blood stem cell transplantation, refAbstract=null), Reference(id=1322630836172730530, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, doi=null, pmid=null, pmcid=null, year=2017, volume=102, issue=3, pageStart=511, pageEnd=519, url=null, language=null, rfNumber=28, rfOrder=27, authorNames=Cho Y K, Sborov D W, Lamprecht M, journalName=Clinical Pharmacology & Therapeutics, refType=null, unstructuredReference=Cho Y K,Sborov D W,Lamprecht M,et al.Associations of high-dose melphalan pharmacokinetics and outcomes in the setting of a randomized cryotherapy trial[J].Clinical Pharmacology & Therapeutics,2017,102(3):511-519., articleTitle=Associations of high-dose melphalan pharmacokinetics and outcomes in the setting of a randomized cryotherapy trial, refAbstract=null), Reference(id=1322630836248228003, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, doi=null, pmid=null, pmcid=null, year=2019, volume=54, issue=9, pageStart=1482, pageEnd=1488, url=null, language=null, rfNumber=29, rfOrder=28, authorNames=Johansson J E, Bratel J, Hardling M, journalName=Bone Marrow Transplantation, refType=null, unstructuredReference=Johansson J E,Bratel J,Hardling M,et al.Cryotherapy as prophylaxis against oral mucositis after high-dose melphalan and autologous stem cell transplantation for myeloma:a randomised,open-label,phase 3,non-inferiority trial[J].Bone Marrow Transplantation,2019,54(9):1482-1488., articleTitle=Cryotherapy as prophylaxis against oral mucositis after high-dose melphalan and autologous stem cell transplantation for myeloma:a randomised,open-label,phase 3,non-inferiority trial, refAbstract=null), Reference(id=1322630837942726820, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, doi=null, pmid=null, pmcid=null, year=2016, volume=20, issue=4, pageStart=462, pageEnd=465, url=null, language=null, rfNumber=30, rfOrder=29, authorNames=Wodzinski A, journalName=Clin J Oncol Nurs, refType=null, unstructuredReference=Wodzinski A.Potential benefits of oral cryotherapy for chemotherapy-induced mucositis[J].Clin J Oncol Nurs,2016,20(4):462-465., articleTitle=Potential benefits of oral cryotherapy for chemotherapy-induced mucositis, refAbstract=null), Reference(id=1322630838026612901, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, doi=null, pmid=null, pmcid=null, year=2014, volume=47, issue=6, pageStart=1100, pageEnd=1115, url=null, language=null, rfNumber=31, rfOrder=30, authorNames=Kadakia K C, Rozell S A, Butala A A, journalName=J Pain Symptom Manag, refType=null, unstructuredReference=Kadakia K C,Rozell S A,Butala A A,et al.Supportive cryotherapy:a review from head to toe[J].J Pain Symptom Manag,2014,47(6):1100-1115., articleTitle=Supportive cryotherapy:a review from head to toe, refAbstract=null), Reference(id=1322630838097916070, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, doi=null, pmid=null, pmcid=null, year=2021, volume=9, issue=null, pageStart=650, pageEnd=659, url=null, language=null, rfNumber=32, rfOrder=31, authorNames=Erika K A, Mulhaeriah M, Miskad U A, journalName=Open Access Macedonian Journal of Medical Sciences, refType=null, unstructuredReference=Erika K A,Mulhaeriah M,Miskad U A,et al.Effectiveness of oral cryotherapy for oral mucositis on cancer patient undergoing cancer therapy:a systematic review[J].Open Access Macedonian Journal of Medical Sciences,2021,9:650-659., articleTitle=Effectiveness of oral cryotherapy for oral mucositis on cancer patient undergoing cancer therapy:a systematic review, refAbstract=null)], funds=null, companyList=[AuthorCompany(id=1322630830401368164, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, xref=1, ext=[AuthorCompanyExt(id=1322630830409756773, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, companyId=1322630830401368164, language=EN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=1Nursing College of Shanxi Medical University, Shanxi 030000 China), AuthorCompanyExt(id=1322630830418145382, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, companyId=1322630830401368164, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=1山西医科大学护理学院,山西 030000)]), AuthorCompany(id=1322630830481059943, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, xref=2, ext=[AuthorCompanyExt(id=1322630830489448552, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, companyId=1322630830481059943, language=EN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=2School of Nursing Jinan University), AuthorCompanyExt(id=1322630830493642857, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, companyId=1322630830481059943, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=2暨南大学护理学院)])], figs=[ArticleFig(id=1322630833756811397, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, language=EN, label=Table 1, caption=

Core effects,advantages,and limitations of cryotherapy in patients with hematologic malignancies

, figureFileSmall=null, figureFileBig=null, tableContent=
低温疗法核心效果优势局限性
含服冰块/冰水降低重度黏膜炎发生率,缓解疼痛操作简便,成本极低,适用人群广部分病人耐受度低,易出现口腔麻木
冰激凌载体冷疗与含服冰块效果相当,降低黏膜炎发生率口感佳,病人接受度高存在糖分摄入问题,糖尿病病人需谨慎使用
冷藏漱口液清洁口腔,辅助预防轻度黏膜炎使用方便,可结合抗菌成分增强效果对重度黏膜炎预防效果有限
冰袋局部冷敷缓解黏膜疼痛、肿胀,缩短溃疡愈合时间适用于无法含服冷剂的病人作用范围局限,对全口腔黏膜保护不足
6~7 h传统冷疗有效降低重度黏膜炎发生率疗效明确病人依从性低,易引发头痛、牙齿敏感
2 h优化冷疗与6~7 h方案疗效相当病人依从性高,不良反应少需严格把控干预时机
), ArticleFig(id=1322630833832308870, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, language=CN, label=表1, caption=

血液肿瘤病人的低温疗法核心效果、优势及局限性

, figureFileSmall=null, figureFileBig=null, tableContent=
低温疗法核心效果优势局限性
含服冰块/冰水降低重度黏膜炎发生率,缓解疼痛操作简便,成本极低,适用人群广部分病人耐受度低,易出现口腔麻木
冰激凌载体冷疗与含服冰块效果相当,降低黏膜炎发生率口感佳,病人接受度高存在糖分摄入问题,糖尿病病人需谨慎使用
冷藏漱口液清洁口腔,辅助预防轻度黏膜炎使用方便,可结合抗菌成分增强效果对重度黏膜炎预防效果有限
冰袋局部冷敷缓解黏膜疼痛、肿胀,缩短溃疡愈合时间适用于无法含服冷剂的病人作用范围局限,对全口腔黏膜保护不足
6~7 h传统冷疗有效降低重度黏膜炎发生率疗效明确病人依从性低,易引发头痛、牙齿敏感
2 h优化冷疗与6~7 h方案疗效相当病人依从性高,不良反应少需严格把控干预时机
)], attaches=null, journal=Journal(id=1220037649855897604, delFlag=0, nameCn=护理研究, nameEn=Chinese Nursing Research, nameHistory1=null, nameHistory2=null, issn=1009-6493, eissn=null, cn=14-1272/R, coden=null, periodic=3, language=CN, oaType=null, ccby=null, superviseOffice=null, ownerOffice=null, pubOffice=null, editorOffice=null, officeType=null, aims=null, clcCode=null, officeProv=null, officeCity=null, officeAddr=null, officeZip=null, officeEmail=null, officePhone=null, editDirector=null, officeDirector=null, officeDirectorPhone=null, officeStaffNum=null, officeEmpNum=null, coverPicUrl=5ND/w5RQYz//x8ucn+e6Vw==, journalPrice=null, startedYear=null, abbrevIsoEn=Chinese Nursing Research, journalRemark=null, publicationField=null, createdTime=1768809242933, updatedTime=1789628561524, createdBy=18614031015, updatedBy=13041195026, firstLetterCn=H, firstLetterEn=H, subjectCode=Medical and Pharmaceutical Sciences, subjectName=null, subjectCodeEn=Medical and Pharmaceutical Sciences, subjectNameEn=null, picCn=5ND/w5RQYz//x8ucn+e6Vw==, picEn=vXneBBf6WfTz/ls4yy3nnA==, jcr=null, cjcr=null, exts=[JournalExt(id=1307360202571928186, language=CN, name=护理研究, nameHistory1=null, nameHistory2=null, managedBy=, sponsoredBy=, publishedBy=, editorOffice=, officeProv=null, officeCity=null, officeAddr=, officeZip=, editDirector=, officeDirector=null, officePhone=null, coverPicUrl=null, journalRemark=, submitArticleUrl=null, websiteUrl=, createdTime=1789628561871, updatedTime=1789628561871, createdBy=13041195026, updatedBy=13041195026, submissionGuidelinesUrl=, submissionAuthorUrl=https://journal.ids.fzyun.cn/auth/realms/journal/protocol/openid-connect/auth?client_id=journal-sxyxqks-author&redirect_uri=https%3A%2F%2Fgj.sxyxqks.com%2Foauth%2Fcallback&response_type=code&scope=phone+openid+email+profile&state=1de4c13f-4807-4ea4-8d8a-5, submissionEditorUrl=https://journal.ids.fzyun.cn/auth/realms/journal/protocol/openid-connect/auth?client_id=journal-sxyxqks-author&redirect_uri=https%3A%2F%2Fgj.sxyxqks.com%2Foauth%2Fcallback&response_type=code&scope=phone+openid+email+profile&state=321a724c-d51d-4f08-a85e-2, submissionReviewUrl=https://journal.ids.fzyun.cn/auth/realms/journal/protocol/openid-connect/auth?client_id=journal-sxyxqks-author&redirect_uri=https%3A%2F%2Fgj.sxyxqks.com%2Foauth%2Fcallback&response_type=code&scope=phone+openid+email+profile&state=dadec7f2-d93c-4f73-8f97-e, submissionCeEditorUrl=, submissionAeEditorUrl=, option={"copyright":""}), JournalExt(id=1307360202618065531, language=EN, name=Chinese Nursing Research, nameHistory1=null, nameHistory2=null, managedBy=, sponsoredBy=, publishedBy=, editorOffice=, officeProv=null, officeCity=null, officeAddr=, officeZip=, editDirector=, officeDirector=null, officePhone=null, coverPicUrl=null, journalRemark=, submitArticleUrl=null, websiteUrl=, createdTime=1789628561882, updatedTime=1789628561882, createdBy=13041195026, updatedBy=13041195026, submissionGuidelinesUrl=, submissionAuthorUrl=https://journal.ids.fzyun.cn/auth/realms/journal/protocol/openid-connect/auth?client_id=journal-sxyxqks-author&redirect_uri=https%3A%2F%2Fgj.sxyxqks.com%2Foauth%2Fcallback&response_type=code&scope=phone+openid+email+profile&state=1de4c13f-4807-4ea4-8d8a-5, submissionEditorUrl=https://journal.ids.fzyun.cn/auth/realms/journal/protocol/openid-connect/auth?client_id=journal-sxyxqks-author&redirect_uri=https%3A%2F%2Fgj.sxyxqks.com%2Foauth%2Fcallback&response_type=code&scope=phone+openid+email+profile&state=321a724c-d51d-4f08-a85e-2, submissionReviewUrl=https://journal.ids.fzyun.cn/auth/realms/journal/protocol/openid-connect/auth?client_id=journal-sxyxqks-author&redirect_uri=https%3A%2F%2Fgj.sxyxqks.com%2Foauth%2Fcallback&response_type=code&scope=phone+openid+email+profile&state=dadec7f2-d93c-4f73-8f97-e, submissionCeEditorUrl=, submissionAeEditorUrl=, option={"copyright":""})], databaseList=null, tenantJournalId=1220038315760373764, websiteList=[Website(id=1220043903038837076, webName=null, webTitle=null, webDomain=null, webCopyrigh=null, webIpcNo=null, seoTitle=null, seoKeywords=null, seoDescription=null, tenantJournalId=null, journalId=1220038315760373764, journalNameCn=null, journalNameEn=null, grayFlag=null, tenantId=1146029695717560320, platformId=null, journalGroupId=null, journalGroupNameCn=null, journalGroupNameEn=null, type=1, domain=https://castjournals.cast.org.cn/joweb/hlyj/CN, language=CN, createTime=1768810733804, createBy=18614031015, updateTime=1768811130580, updateBy=18614031015, name=护理研究-中文, tplId=1146099689490845704, title=护理研究, delFlag=0, indexPage=/home, props=[WebsiteProps(id=1228001613021904925, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1220043903038837076, code=articleTextType, value=kx, createTime=1770707999711, updateTime=1770707999711, creator=18614031015, updator=18614031015), WebsiteProps(id=1228001613005127706, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1220043903038837076, code=banner, value=null, createTime=1770707999707, updateTime=1770707999707, creator=18614031015, updator=18614031015), WebsiteProps(id=1228001613038682144, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1220043903038837076, code=grayFlag, value=0, createTime=1770707999715, updateTime=1770707999715, creator=18614031015, updator=18614031015), WebsiteProps(id=1228001613000933401, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1220043903038837076, code=logo, value=https://castjournals.cast.org.cn/joweb/hlyj/CN/file/pic?fileId=pB29yYO+7WdTp0HLQ4KSzg==, createTime=1770707999706, updateTime=1770707999706, creator=18614031015, updator=18614031015), WebsiteProps(id=1228001613047070754, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1220043903038837076, code=minRunFlag, value=0, createTime=1770707999717, updateTime=1770707999717, creator=18614031015, updator=18614031015), WebsiteProps(id=1228001613017710620, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1220043903038837076, code=picServerUrl, value=https://castjournals.cast.org.cn/joweb/hlyj/CN/file/pic, createTime=1770707999710, updateTime=1770707999710, creator=18614031015, updator=18614031015), WebsiteProps(id=1228001613042876449, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1220043903038837076, code=silenceFlag, value=0, createTime=1770707999716, updateTime=1770707999716, creator=18614031015, updator=18614031015), WebsiteProps(id=1228001613013516315, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1220043903038837076, code=staticResourcePath, value=https://castjournals.cast.org.cn/joweb/cast_kjdb_cn_619/, createTime=1770707999709, updateTime=1770707999709, creator=18614031015, updator=18614031015), WebsiteProps(id=1228001613026099230, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1220043903038837076, code=themeColor, value=null, createTime=1770707999712, updateTime=1770707999712, creator=18614031015, updator=18614031015), WebsiteProps(id=1228001613034487839, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1220043903038837076, code=themeStyle, value=null, createTime=1770707999714, updateTime=1770707999714, creator=18614031015, updator=18614031015)]), Website(id=1220043903097557352, webName=null, webTitle=null, webDomain=null, webCopyrigh=null, webIpcNo=null, seoTitle=null, seoKeywords=null, seoDescription=null, tenantJournalId=null, journalId=1220038315760373764, journalNameCn=null, journalNameEn=null, grayFlag=null, tenantId=1146029695717560320, platformId=null, journalGroupId=null, journalGroupNameCn=null, journalGroupNameEn=null, type=1, domain=https://castjournals.cast.org.cn/joweb/hlyj/EN, language=EN, createTime=1768810733819, createBy=18614031015, updateTime=1768811154181, updateBy=18614031015, name=护理研究-英文, tplId=1146101810881728533, title=Chinese Nursing Research, delFlag=0, indexPage=/home, props=[WebsiteProps(id=1220045841042166147, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1220043903097557352, code=articleTextType, value=kx, createTime=1768811195860, updateTime=1768811195860, creator=18614031015, updator=18614031015), WebsiteProps(id=1220045841017000320, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1220043903097557352, code=banner, value=null, createTime=1768811195854, updateTime=1768811195854, creator=18614031015, updator=18614031015), WebsiteProps(id=1220045841063137670, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1220043903097557352, code=grayFlag, value=0, createTime=1768811195865, updateTime=1768811195865, creator=18614031015, updator=18614031015), WebsiteProps(id=1220045841008611711, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1220043903097557352, code=logo, value=https://castjournals.cast.org.cn/joweb/hlyj/EN/file/pic?fileId=pB29yYO+7WdTp0HLQ4KSzg==, createTime=1768811195852, updateTime=1768811195852, creator=18614031015, updator=18614031015), WebsiteProps(id=1220045841075720584, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1220043903097557352, code=minRunFlag, value=0, createTime=1768811195868, updateTime=1768811195868, creator=18614031015, updator=18614031015), WebsiteProps(id=1220045841033777538, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1220043903097557352, code=picServerUrl, value=https://castjournals.cast.org.cn/joweb/hlyj/EN/file/pic, createTime=1768811195858, updateTime=1768811195858, creator=18614031015, updator=18614031015), WebsiteProps(id=1220045841071526279, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1220043903097557352, code=silenceFlag, value=0, createTime=1768811195867, updateTime=1768811195867, creator=18614031015, updator=18614031015), WebsiteProps(id=1220045841025388929, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1220043903097557352, code=staticResourcePath, value=https://castjournals.cast.org.cn/joweb/cast_kjdb_en_623/, createTime=1768811195857, updateTime=1768811195857, creator=18614031015, updator=18614031015), WebsiteProps(id=1220045841046360452, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1220043903097557352, code=themeColor, value=null, createTime=1768811195861, updateTime=1768811195861, creator=18614031015, updator=18614031015), WebsiteProps(id=1220045841054749061, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1220043903097557352, code=themeStyle, value=null, createTime=1768811195863, updateTime=1768811195863, creator=18614031015, updator=18614031015)])], journalTitle=护理研究, weixinUrl=null, journalUrl=https://www.hlyjzz.com/, iacademicId=null, status=1, seqNo=null, journalTitleEn=Chinese Nursing Research, journalPhotoCn=5ND/w5RQYz//x8ucn+e6Vw==, journalPhotoEn=vXneBBf6WfTz/ls4yy3nnA==, journalFirstLetter=H, journalRecommend=null, journalNew=null, journalCollection=null, jcrJf=null, cjcrJf=null, jcrJfStr=null, cjcrJfStr=null, submissionFirstDecision=null, sciSubjectClassification=null, casSubjectClassification=null, citeScore=null, totalCitationFrequency=null, icpCode=null, psCode=null, advertisingLicenseCode=null, copyrightInformation=null, country=null, option=, provinceCode=null, provinceName=null, collectFlag=false, interPubPlatform=, interPubPlatformUrl=null), detailUrlCn=https://castjournals.cast.org.cn/joweb/hlyj/CN/10.12102/j.issn.1009-6493.2026.18.028, detailUrlEn=https://castjournals.cast.org.cn/joweb/hlyj/EN/10.12102/j.issn.1009-6493.2026.18.028, pdfUrlCn=https://castjournals.cast.org.cn/joweb/hlyj/CN/PDF/10.12102/j.issn.1009-6493.2026.18.028, pdfUrlEn=https://castjournals.cast.org.cn/joweb/hlyj/EN/PDF/10.12102/j.issn.1009-6493.2026.18.028, aliStartDate=0, aliEndDate=0, collectionFlag=false, citedCount=null, citedUrl=null, previewStatus=0, delFlag=0, hasFullText=1, orderTime=1790265600000, fullTextJson=null, articleText=null, reference=null)
收藏切换
低温疗法在血液肿瘤病人化疗后口腔黏膜炎中的应用进展
收藏切换
靳天瑞 1 , 张家芳 2 , 王磊 1, *, *
护理研究 | 科研综述 2026,40(18): 3340-3344
收起
收藏切换
护理研究 |科研综述 2026 , 40 (18) : 3340 -3344
低温疗法在血液肿瘤病人化疗后口腔黏膜炎中的应用进展
全屏
[Author(id=1322630830564946027, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, orderNo=0, firstName=null, middleName=null, lastName=null, nameCn=null, orcid=null, stid=null, country=null, authorPic=null, dead=0, email=null, emailSecond=null, emailThird=null, correspondingAuthor=0, authorType=1, ext={EN=AuthorExt(id=1322630830632054893, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, authorId=1322630830564946027, language=EN, stringName=Tianrui JIN, firstName=Tianrui, middleName=null, lastName=JIN, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=1, address=1Nursing College of Shanxi Medical University, Shanxi 030000 China, bio=null, bioImg=null, bioContent=null, aboutCorrespAuthor=null), CN=AuthorExt(id=1322630830699163758, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, authorId=1322630830564946027, language=CN, stringName=靳天瑞, firstName=null, middleName=null, lastName=null, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=1, address=1山西医科大学护理学院,山西 030000, bio={"content":"

靳天瑞,硕士研究生

"}, bioImg=null, bioContent=

靳天瑞,硕士研究生

, aboutCorrespAuthor=null)}, companyList=[AuthorCompany(id=1322630830401368164, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, xref=1, ext=[AuthorCompanyExt(id=1322630830409756773, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, companyId=1322630830401368164, language=EN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=1Nursing College of Shanxi Medical University, Shanxi 030000 China), AuthorCompanyExt(id=1322630830418145382, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, companyId=1322630830401368164, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=1山西医科大学护理学院,山西 030000)])]), Author(id=1322630830757884016, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, orderNo=1, firstName=null, middleName=null, lastName=null, nameCn=null, orcid=null, stid=null, country=null, authorPic=null, dead=0, email=null, emailSecond=null, emailThird=null, correspondingAuthor=0, authorType=1, ext={EN=AuthorExt(id=1322630830837575794, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, authorId=1322630830757884016, language=EN, stringName=Jiafang ZHANG, firstName=Jiafang, middleName=null, lastName=ZHANG, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=2, address=2School of Nursing Jinan University, bio=null, bioImg=null, bioContent=null, aboutCorrespAuthor=null), CN=AuthorExt(id=1322630830900490355, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, authorId=1322630830757884016, language=CN, stringName=张家芳, firstName=null, middleName=null, lastName=null, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=2, address=2暨南大学护理学院, bio=null, bioImg=null, bioContent=null, aboutCorrespAuthor=null)}, companyList=[AuthorCompany(id=1322630830481059943, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, xref=2, ext=[AuthorCompanyExt(id=1322630830489448552, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, companyId=1322630830481059943, language=EN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=2School of Nursing Jinan University), AuthorCompanyExt(id=1322630830493642857, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, companyId=1322630830481059943, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=2暨南大学护理学院)])]), Author(id=1322630830971793525, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, orderNo=2, firstName=null, middleName=null, lastName=null, nameCn=null, orcid=null, stid=null, country=null, authorPic=null, dead=0, email=66883116@qq.com, emailSecond=null, emailThird=null, correspondingAuthor=1, authorType=1, ext={EN=AuthorExt(id=1322630831118594167, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, authorId=1322630830971793525, language=EN, stringName=Lei WANG, firstName=Lei, middleName=null, lastName=WANG, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=1, address=1Nursing College of Shanxi Medical University, Shanxi 030000 China, bio=null, bioImg=null, bioContent=null, aboutCorrespAuthor=null), CN=AuthorExt(id=1322630831181508728, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, authorId=1322630830971793525, language=CN, stringName=王磊, firstName=null, middleName=null, lastName=null, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=1, *, *, address=1山西医科大学护理学院,山西 030000, bio=null, bioImg=null, bioContent=null, aboutCorrespAuthor=null)}, companyList=[AuthorCompany(id=1322630830401368164, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, xref=1, ext=[AuthorCompanyExt(id=1322630830409756773, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, companyId=1322630830401368164, language=EN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=1Nursing College of Shanxi Medical University, Shanxi 030000 China), AuthorCompanyExt(id=1322630830418145382, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322630829478621281, companyId=1322630830401368164, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=1山西医科大学护理学院,山西 030000)])])]
靳天瑞1, 张家芳2, 王磊1, *, *
作者信息
  • 1山西医科大学护理学院,山西 030000
  • 2暨南大学护理学院
通讯作者:
王磊,E-mail:
WANG Lei, E-mail:
作者简介:

靳天瑞,硕士研究生

Application progress of cryotherapy for chemotherapy-induced oral mucositis in patients with hematologic malignancies
Tianrui JIN1, Jiafang ZHANG2, Lei WANG1
Affiliations
  • 1Nursing College of Shanxi Medical University, Shanxi 030000 China
  • 2School of Nursing Jinan University
出版时间: 2026-09-25 doi: 10.12102/j.issn.1009-6493.2026.18.028
文章导航
收藏切换

对口腔黏膜炎进行概述,总结血液肿瘤病人化疗相关口腔黏膜炎的临床特征、低温疗法对口腔黏膜炎的作用机制、低温疗法在血液肿瘤病人化疗后口腔黏膜炎中的应用现状,并提出临床应用优化建议,以期为护理实践提供参考。

低温疗法  /  血液肿瘤  /  化疗  /  口腔黏膜炎  /  护理  /  综述

This article provides an overview of oral mucositis,summarizes the clinical characteristics of chemotherapy-related oral mucositis in patients with hematologic malignancies,discusses the mechanism of action of cryotherapy on oral mucositis,and reviews the current status of cryotherapy for chemotherapy-induced oral mucositis in patients with hematologic malignancies.Optimizations suggestions for clinical application are also proposed,so as to provide a reference for nursing practice.

cryotherapy  /  hematologic malignancies  /  chemotherapy  /  oral mucositis  /  nursing  /  review
靳天瑞, 张家芳, 王磊. 低温疗法在血液肿瘤病人化疗后口腔黏膜炎中的应用进展. 护理研究, 2026 , 40 (18) : 3340 -3344 . DOI: 10.12102/j.issn.1009-6493.2026.18.028
Tianrui JIN, Jiafang ZHANG, Lei WANG. Application progress of cryotherapy for chemotherapy-induced oral mucositis in patients with hematologic malignancies[J]. Chinese Nursing Research, 2026 , 40 (18) : 3340 -3344 . DOI: 10.12102/j.issn.1009-6493.2026.18.028
血液肿瘤是一类严重威胁人类健康的恶性疾病,涵盖白血病、淋巴瘤及骨髓瘤等多种类型。化疗作为治疗血液肿瘤的重要手段之一,在消灭肿瘤细胞的同时也会对正常组织和器官造成损害,口腔黏膜炎是化疗后较为常见的并发症之一。Muhammad等[1]选取190例血液肿瘤病人展开研究,结果显示,约46.3%的病人出现口腔黏膜炎。口腔黏膜炎不仅会使病人承受剧烈疼痛,引发进食困难、吞咽疼痛等问题,影响营养摄入,还可能诱发口腔感染,甚至导致化疗方案中断或调整,最终对治疗效果及病人预后产生不良影响[2]。低温疗法作为一种非药物治疗方式,具有操作简便、成本较低、副作用较小等优势,其在预防化疗性口腔黏膜炎方面效果优于常规漱口水[3]。但目前低温疗法在血液肿瘤病人中的具体作用机制、适用方法等仍存在争议,且尚未形成统一的操作标准与规范。现对低温疗法在血液肿瘤病人化疗后口腔黏膜炎防治中的应用情况进行综述,以期为护理实践提供参考,进而提高病人生活质量。
口腔黏膜炎是一种常见的口腔黏膜疾病,可由局部因素或全身非肿瘤治疗相关因素引发,常见诱因包括口腔感染、物理损伤、化学刺激、营养缺乏及自身免疫性疾病等。临床表现为局部黏膜出现红斑、水肿、糜烂或浅表溃疡,伴有疼痛、灼热感,严重时影响进食与说话。多数情况下病变局限,程度较轻,去除诱因后通过局部护理或短期药物治疗可在1~2周愈合,极少出现严重感染或造成全身影响[4]。口腔黏膜炎的发病机制包括:1)局部损伤直接破坏口腔黏膜上皮细胞完整性,引发固有层炎症细胞浸润,释放炎症介质,导致黏膜红肿、疼痛;2)感染因素通过病原体侵袭黏膜组织,诱发免疫反应,进一步加重黏膜损伤;3)营养缺乏导致黏膜上皮细胞代谢异常,修复能力下降,易受外界刺激引发炎症[5]。
口腔黏膜炎根据诱因可分为非化疗诱导型与化疗诱导型,二者发生率、严重程度、发病机制等方面均存在差异,核心原因可能包括4个方面。1)化疗药物的细胞毒性作用:化疗药物由于缺乏组织特异性,在杀灭肿瘤细胞的同时会直接损伤口腔黏膜快速增殖的上皮细胞,导致黏膜屏障结构破坏;2)骨髓抑制效应:化疗会抑制骨髓造血功能,导致中性粒细胞等免疫细胞减少,病人机体免疫力下降,口腔黏膜对病原体的抵抗力减弱,从而容易继发感染,加重黏膜损伤;3)炎症反应失衡:化疗诱发全身炎症反应,炎症介质大量释放,进一步加剧黏膜红肿、溃疡形成;4)营养代谢紊乱:化疗后病人恶心、呕吐、进食困难等症状导致营养摄入不足,黏膜上皮细胞修复所需的蛋白质、维生素等缺乏,形成黏膜损伤、营养不足、修复能力下降的恶性循环[6-7]。这些因素共同作用,使得化疗诱导的口腔黏膜炎较非化疗诱导的口腔黏膜炎更为严重、难治,且对病人治疗和预后影响更大。
临床通常依据世界卫生组织(WHO)分级标准或美国国家癌症研究所常见不良反应事件评价标准(CTCAE)对口腔黏膜炎进行分级。WHO将口腔黏膜炎划分为0~Ⅳ级,其中,0级表示无异常状况;Ⅰ级表现为口腔黏膜出现红斑并伴有疼痛;Ⅱ级表现为口腔黏膜出现溃疡,但病人仍可正常进食;Ⅲ级表现为口腔黏膜溃疡程度较严重,仅能进食流质食物;Ⅳ级表现为口腔黏膜溃疡严重,病人无法进食[8-9]。CTCAE在对口腔黏膜炎进行分级时更侧重于功能影响,分为1~5级,其中,1级为无症状或轻微症状;2级为中度症状,需调整饮食;3级为严重症状,无法经口摄食,需管饲或肠外营养;4级为有危及生命的后果;5级为造成死亡[10]。两种标准在临床中常结合使用,WHO分级用于直观反映黏膜损伤程度,CTCAE分级用于更全面地评估症状对病人生理功能的影响。
血液肿瘤病人受疾病本身及化疗药物的双重影响,机体免疫力下降,口腔黏膜屏障功能减弱,致使口腔黏膜炎发生率较高。Azizi等[11]研究结果显示,接受常规化疗的血液肿瘤病人口腔黏膜炎发生率为40%~60%;而接受造血干细胞移植预处理的化疗病人,因预处理方案强度更高,对口腔黏膜的损伤更严重,病人并发症发生率更高,为70%~90%。提示化疗强度与口腔黏膜炎发生风险间存在关联性,临床需根据治疗方案制定针对性的防护措施。Docimo等[12]研究发现,接受化疗的儿童和青少年癌症病人中,约半数会发生口腔黏膜炎。儿童口腔黏膜更为娇嫩,且对化疗药物的耐受性较低,使得儿童血液肿瘤病人成为发生口腔黏膜炎的高风险人群,临床需对该群体给予关注。
血液肿瘤病人化疗相关口腔黏膜炎引发的危害具有连锁效应。Chaveli-López等[13]研究指出,化疗相关口腔黏膜炎导致的剧烈疼痛会使病人进食困难,进而造成营养摄入不足,引发体重下降与营养不良。营养状况恶化会进一步削弱病人免疫力,形成黏膜损伤,导致机体营养不足、免疫力下降,使黏膜修复能力降低,形成恶性循环。血液肿瘤病人化疗相关口腔黏膜炎发生后不仅会影响病人生活质量,还会阻碍疾病治疗进程,对康复预后产生不利影响。因此,有效防治口腔黏膜炎对维持血液肿瘤病人的治疗连续性、改善病人预后具有重要意义。
血液肿瘤病人化疗相关口腔黏膜炎的发生受疾病本身及化疗损伤的双重影响,病情严重程度高于普通口腔黏膜炎。冯雯等[14]发现,化疗药物的细胞毒性会直接破坏口腔黏膜上皮细胞,骨髓抑制又会导致免疫力下降,造成继发性感染,加之炎症反应失衡与营养代谢紊乱的恶性循环,使得黏膜损伤更重,溃疡更深、范围更广,更易发展为WHO等级划分中的Ⅲ级或Ⅳ级口腔黏膜炎,远超普通黏膜炎浅表溃疡的程度。同时,血液肿瘤病人口腔黏膜炎治疗难度也较大,普通黏膜炎经局部护理或短期药物治疗1~2周即可愈合,而血液肿瘤病人口腔黏膜炎因发病机制涉及多个环节,需同时兼顾黏膜修复、感染防控与营养支持等,常规干预效果有限。
Walladbegi等[15]研究表明,低温可对口腔黏膜血管产生刺激,促使血管收缩,减少局部血液流量。血管收缩能够降低化疗药物在口腔黏膜组织中的分布量与摄取量,从而减轻化疗药物对口腔黏膜上皮细胞的损伤。低温干预过程中口腔黏膜血流灌注减少,化疗药物在口腔黏膜中的浓度也会随之降低,且这种变化与口腔黏膜炎发生率有关。
化疗会破坏口腔黏膜的屏障结构与功能,致使黏膜完整性受损,对物理刺激的耐受性下降。适宜的温度有利于促进口腔黏膜上皮细胞增殖与迁移,加快溃疡愈合速度。Pulito等[16]研究发现,口腔黏膜炎的发生与炎症相关,低温可通过抑制炎症介质释放,减轻口腔黏膜炎严重程度。
低温干预能够减缓疼痛神经传导速度、抑制神经生物电活动,从而降低神经敏感性,进而减轻化疗相关口腔黏膜炎引发的疼痛。刘焕等[17]研究发现,针对接受大剂量美法仑化疗的造血干细胞移植病人,低温干预在减轻口腔黏膜损伤的同时,还可通过降低神经敏感性间接缓解疼痛症状,且不会增加严重不良反应发生风险[18-19]。这一镇痛效应不仅有利于提高病人治疗舒适度,还可为减少阿片类镇痛药物的使用提供可能,进一步凸显低温干预在疼痛管理中的价值[20]。
口腔冷疗作为一种局部低温干预手段,目前已在临床得到较为广泛的应用。在血液肿瘤病人接受高剂量化疗期间,冷疗是预防和减轻化疗诱导型口腔黏膜炎的重要干预方式[21],其常见干预形式包括含服冰块或冰水、冰袋局部冷敷及使用冷藏漱口液等,具体操作规范如下:含服冰块或冰水需在化疗药物输注期间及输注后短时间内实施,每次含服时长需根据药物种类及病人耐受情况调整,通常为30~60 min;冰袋局部冷敷需将冰袋用毛巾包裹后敷于口腔外部对应区域,每次冷敷时长为15~20 min,每日可进行多次,其核心作用在于缓解口腔黏膜疼痛与肿胀[22];冷藏漱口液的使用方式与普通漱口液相似,需每日多次使用[23]。
López-González等[24]将冰袋局部冷敷应用于骨髓瘤病人化疗后口腔黏膜炎的护理中,结果显示,冷敷病人的口腔黏膜疼痛评分较低,且溃疡愈合时间较短,表明冰袋局部冷敷在减轻口腔黏膜炎疼痛、促进溃疡愈合方面具有积极作用。Wang等[25]整合了7项随机对照试验数据,结果显示,口腔冰袋冷敷能降低血液系统恶性肿瘤病人造血干细胞移植后严重口腔黏膜炎的发生率和严重程度,缩短总肠外营养使用时间及住院时间。针对儿童病人,欧阳成晶等[26]研究发现,口腔冷疗可降低急性淋巴细胞白血病患儿化疗后口腔黏膜炎的发生率及严重程度,缩短愈合时间,表明该疗法在儿童病人中同样具有成效。
在针对血液肿瘤病人的临床研究中,口腔低温疗法的干预时长经历了从“长期标准”到“优化缩短”的探索过程。早期临床实践中,6~7 h的干预时长被广泛认可,如Lilleby等[27]以接受高剂量美法仑联合自体造血干细胞移植(ASCT)的多发性骨髓瘤病人为研究对象,进行6 h口腔低温干预,结果显示,重度化疗诱导口腔黏膜炎(CIOM)发生率降低,延长干预时长并未带来额外的防治获益,反而因病人耐受度下降导致依从性降低。Cho等[28]开展随机对照试验,对比2 h与6 h低温干预方案,结果显示,两组病人重度CIOM(≥3级)发生率差异无统计学意义,且2 h方案下病人的不适感更轻、干预完成率更高。Johansson等[29]研究结果显示,2 h与7 h干预在重度CIOM预防效果方面差异无统计学意义,同时7 h组有7例病人因无法耐受低温刺激提前终止治疗,而2 h组所有病人均完成干预。表明2 h的口腔低温干预已能达到与传统长时方案相当的CIOM预防效果,且更符合临床实践中病人的接受度与依从性需求。
低温疗法在实施过程中可能诱发不良反应,以头痛、牙齿敏感及口腔麻木较为常见[30]。这些不良反应的发生并非随机,而是与低温干预的关键参数(温度、持续时间)及病人个体特征密切相关。当口腔低温干预持续时间较长时,部分病人可能出现头痛或牙齿敏感症状;若干预温度过低或操作方式不符合规范,低温疗法可能对口腔黏膜产生刺激,进而引发麻木感[31]。值得注意的是,对于本身已存在牙齿敏感问题的病人,低温刺激可能进一步加剧其不适症状,最终降低病人对该干预措施的耐受性[32]。
目前临床应用的低温疗法在防治化疗诱导型口腔黏膜炎方面均有一定效果,但在核心效果、优势、局限性等方面存在差异,见表1。从疗效、依从性、安全性方面对血液肿瘤病人的低温疗法进行综合评估,最优护理措施为2 h口腔低温干预(含服冰块/冰水或冰激凌载体),该方案既可保证与传统长时间干预方案相当的重度黏膜炎预防效果,又可提高病人依从性,减少不良反应,且操作简便、成本低廉,适用于绝大多数血液肿瘤化疗病人(包括儿童、成年人);6~7 h传统冷疗对重度黏膜炎预防效果有限,仅适用于轻度黏膜炎的辅助预防或联合干预。
目前对低温疗法的研究已取得一定成果,但其临床应用仍存在不足之处,针对其临床应用优化可提出以下建议:1)提升病人教育质量。通过视频、图文手册等方式向病人讲解低温疗法的原理、操作方法及不良反应应对措施,提高病人主动配合度。2)开发新型冷疗工具。如可调节温度的口腔冷敷器、无糖型低温凝胶等,既可保证干预效果,又可减少糖分摄入、牙齿敏感等问题。3)加强不良反应的预防与管理。干预前评估病人牙齿状况、耐受程度,干预中定时询问病人感受,出现头痛、严重麻木时及时调整温度或暂停干预,必要时给予对症处理。4)拓展临床适用范围。探索低温疗法在其他肿瘤(如头颈部肿瘤)化疗后口腔黏膜炎中的应用现状,验证其普适性。
低温疗法是防治化疗诱导型口腔黏膜炎的安全、经济手段。未来通过规范操作标准、优化个性化方案、探索联合干预模式,有望进一步提升其疗效与病人接受度,为提高血液肿瘤病人的治疗连续性与生活质量提供更有力的保障。

参考文献 引证文献
排序方式:
1
Muhammad R T,Alzubaidee A F.Oral complications of cancer medication in hemato-oncologic patients[J].Diyala Journal of Medicine,2020,19(2):180-191.
2
Popović N,Mravak Stipetić M,Lelas A,et al.Prevencija i liječenje mukozitisa u bolesnika sa zloćudnim hematološkim bolestima:pregled područja i stav Hrvatske kooperativne grupe za hematološke bolesti(KROHEM)[J].Medicina Fluminensis,2021,57(4):373-383.
3
王东莉,范继燕,周蕾,等.三种干预方法在急性淋巴细胞白血病大剂量甲氨蝶呤化疗性口腔黏膜炎中的应用及临床经济学评价[J].中国感染控制杂志,2024,23(3):310-315.
4
王莹.青少年放化疗期间的口腔黏膜炎不容忽视[J].青春期健康,2023,21(23):36-37.
5
胡凤林,吴国琳.肿瘤治疗相关性口腔黏膜炎的发病机制和诊疗进展[J].中国肿瘤临床,2025,52(5):248-252.
6
张文陆,宇长青,王言.放化疗引起的口腔黏膜炎的病理基础和诊断概况[J].医学综述,2007,13(18):1388-1390.
7
Ferreira M N,Ramseier J Y,Leventhal J S.Dermatologic conditions in women receiving systemic cancer therapy[J].International Journal of Women's Dermatology,2019,5(5):285-307.
8
Wong H M.Oral complications and management strategies for patients undergoing cancer therapy[J].The Scientific World Journal,2014,2014(1):581795.
9
Maria O M,Shalaby M,Syme A,et al.Adipose mesenchymal stromal cells minimize and repair radiation-induced oral mucositis[J].Cytotherapy,2016,18(9):1129-1145.
10
Iyer R.Surgical outcomes in gynaecological oncology[D].London:University College London,2016.
11
Azizi A,Alirezaei S,Pedram P,et al.Efficacy of topical and systemic Vitamin E in preventing chemotherapy-induced oral mucositis[J].Rep Radiother Oncol,2015,2(1):15-18.
12
Docimo R,Anastasio M D,Bensi C.Chemotherapy-induced oral mucositis in children and adolescents:a systematic review[J].European Archives of Paediatric Dentistry,2022,23(4):501-511.
13
Chaveli-López B,Bagán-Sebastián J V.Treatment of oral mucositis due to chemotherapy[J].Journal of Clinical and Experimental Dentistry,2016,8(2):e201-e209.
14
冯雯,吴德芳,阮海涛,等.血液肿瘤患者化疗相关性口腔黏膜炎的护理研究进展[J].护理学杂志,2023,38(5):125-129.
15
Walladbegi J,Smith S A,Grayson A K,et al.Cooling of the oral mucosa to prevent adverse effects of chemotherapeutic agents:an in vitro study[J].Journal of Oral Pathology & Medicine,2018,47(5):477-483.
16
Pulito C,Cristaudo A,Porta C L,et al.Oral mucositis:the hidden side of cancer therapy[J].Journal of Experimental & Clinical Cancer Research,2020,39(1):210.
17
刘焕,强万敏,沈傲梅,等.口腔低温疗法在化疗相关口腔黏膜炎防治中的研究进展[J].护理研究,2022,36(2):285-288.
18
Nawi R I M,Chui P L,Ishak W Z W,et al.Oral cryotherapy:prevention of oral mucositis and pain among patients with colorectal cancer undergoing chemotherapy[J].Clinical Journal of Oncology Nursing,2018,22(5):555-560.
19
Mori T,Aisa Y,Yamazaki R,et al.Cryotherapy for the prevention of high-dose melphalan-induced oral mucositis[J].Bone Marrow Transplantation,2006,38(9):637-638.
20
Mori T,Yamazaki R,Aisa Y,et al.Brief oral cryotherapy for the prevention of high-dose melphalan-induced stomatitis in allogeneic hematopoietic stem cell transplant recipients[J].Supportive Care in Cancer,2006,14(4):392-395.
21
兰安妮,高莉萍,李敏.集束化护理干预在乳腺癌化疗相关性口腔黏膜炎中的应用[J].临床与病理杂志,2017,37(8):1692-1698.
22
Najaf L,Borgvall N,Vennman K,et al.An extraoral approach to intraoral cooling:a feasibility study in non-cancer patients[J].BMC Oral Health,2023,23(1):654.
23
Jasiński M,Maciejewska M,Brodziak A,et al.Ice-cream used as cryotherapy during high-dose melphalan conditioning reduces oral mucositis after autologous hematopoietic stem cell transplantation[J].Scientific Reports,2021,11(1):22507.
24
López-González Á,García-Quintanilla M,Guerrero-Agenjo C M,et al.Eficacy of cryotherapy in the prevention of oral mucosistis in adult patients with chemotherapy[J].International Journal of Environmental Research and Public Health,2021,18(3):994.
25
Wang L,Gu Z Y,Zhai R R,et al.Efficacy of oral cryotherapy on oral mucositis prevention in patients with hematological malignancies undergoing hematopoietic stem cell transplantation:a meta-analysis of randomized controlled trials[J].PLoS One,2015,10(5):e0128763.
26
欧阳成晶,尹华英,郭小利,等.口腔低温疗法对化疗后急性白血病患儿口腔黏膜炎的干预效果研究[J].护理管理杂志,2024,24(12):1096-1100.
27
Lilleby K,Garcia P,Gooley T,et al.A prospective,randomized study of cryotherapy during administration of high-dose melphalan to decrease the severity and duration of oral mucositis in patients with multiple myeloma undergoing autologous peripheral blood stem cell transplantation[J].Bone Marrow Transplant,2006,37:1031-1035.
28
Cho Y K,Sborov D W,Lamprecht M,et al.Associations of high-dose melphalan pharmacokinetics and outcomes in the setting of a randomized cryotherapy trial[J].Clinical Pharmacology & Therapeutics,2017,102(3):511-519.
29
Johansson J E,Bratel J,Hardling M,et al.Cryotherapy as prophylaxis against oral mucositis after high-dose melphalan and autologous stem cell transplantation for myeloma:a randomised,open-label,phase 3,non-inferiority trial[J].Bone Marrow Transplantation,2019,54(9):1482-1488.
30
Wodzinski A.Potential benefits of oral cryotherapy for chemotherapy-induced mucositis[J].Clin J Oncol Nurs,2016,20(4):462-465.
31
Kadakia K C,Rozell S A,Butala A A,et al.Supportive cryotherapy:a review from head to toe[J].J Pain Symptom Manag,2014,47(6):1100-1115.
32
Erika K A,Mulhaeriah M,Miskad U A,et al.Effectiveness of oral cryotherapy for oral mucositis on cancer patient undergoing cancer therapy:a systematic review[J].Open Access Macedonian Journal of Medical Sciences,2021,9:650-659.
2026年第40卷第18期
24
11
引用本文
BibTeX
文章信息
doi: 10.12102/j.issn.1009-6493.2026.18.028
  • 接收时间:2025-12-03
  • 首发时间:2026-10-29
  • 出版时间:2026-09-25
补充材料
相关文章
文章信息
作者
出版历史
  • 收稿日期:2025-12-03
  • 修回日期:2026-06-23
基金
作者信息
    1山西医科大学护理学院,山西 030000
    2暨南大学护理学院

通讯作者:

王磊,E-mail:
WANG Lei, E-mail:
参考文献
分享链接
https://castjournals.cast.org.cn/joweb/hlyj/CN/10.12102/j.issn.1009-6493.2026.18.028
分享至
全文二维码

扫描看全文

引用本文
BibTeX
本文的引用情况
2种不同金属材料的力学参数
科
Family
属数
Number of
genus
种数
Number of
species
占总种数比例
Percentage of
total species (%)
属
Genus
种数
Number of
species
占总种数比例
Percentage of total
species (%)
鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
关闭全屏