放射性口腔黏膜炎的疾病管理模式OA

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.