中国实用口腔科杂志2026，Vol.19Issue(1)：27-31,5.DOI:10.19538/j.kq.2026.01.004
放射性口腔黏膜炎的疾病管理模式
Disease management model of radiation-induced oral mucositis
摘要
Abstract
Radiation-induced oral mucositis(RIOM)is a common toxic reaction that may limit continuous treatment in head-and-neck radiotherapy and chemoradiotherapy.It typi-cally presents with oral mucosal erythema,erosions or ulcers,and severe pain,often accompanied by malnutrition and infec-tion.Based on current national and international guidelines and the Chinese group standards,this paper puts forward an integrated,full-cycle management model,including:systemat-ic oral evaluation,risk stratification,and health education be-fore radiotherapy;standardized oral hygiene management sup-ported by appropriate local or systemic prophylactic measures through the course of treatment;severity-based therapeutic strategies that combine analgesia,anti-infection,nutritional support,and pro-healing interventions during treatment,with radiotherapy plan optimized if necessary;regular follow-up combined with patient-reported outcome measures(PROMs)and quality improvement(QI)indicators to form a closed man-agement loop.This model is designed to reduce the incidence of severe RIOM and treatment interruptions,accelerate heal-ing,and improve patients' quality of life.关键词
放射性口腔黏膜炎/风险评估/临床分级/临床质量改进Key words
radiation-induced oral mucositis/risk assess-ment/clinical grading/clinical quality improvement分类
医药卫生引用本文复制引用
朱伟文,范媛..放射性口腔黏膜炎的疾病管理模式[J].中国实用口腔科杂志,2026,19(1):27-31,5.基金项目
江苏省科技厅重点研发项目(社会发展)专项基金(BE2021723) （社会发展）
江苏省卫健委面上项目(H2023149) （H2023149）
