[1]郑宇,张学军,石宝琪,等.高龄晚期胃癌患者不同姑息性介入治疗前后生活质量及焦虑状态的临床观察 [J].介入放射学杂志,2020,29(02):149-153.
 ZHENG Yu,ZHANG Xuejun,SHI Baoqi,et al.Clinical observation on the quality of life and anxiety status before and after different palliative interventional therapies in elderly patients with advanced gastric cancer[J].journal interventional radiology,2020,29(02):149-153.
点击复制

高龄晚期胃癌患者不同姑息性介入治疗前后生活质量及焦虑状态的临床观察 
()

PDF下载中关闭

分享到:

《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
29
期数:
2020年02
页码:
149-153
栏目:
肿瘤介入
出版日期:
2020-03-14

文章信息/Info

Title:
Clinical observation on the quality of life and anxiety status before and after different palliative interventional therapies in elderly patients with advanced gastric cancer
作者:
郑宇张学军石宝琪张伟王梁朝鲁孟
Author(s):
ZHENG Yu ZHANG Xuejun SHI Baoqi ZHANG Wei WANG Liang CHAO Lumeng.
Department of Interventional Diagnosis and Treatment, People’s Hospital of Inner Mongolia Autonomous Region, Hohhot, Inner Mongolia Autonomous Region 010017, China
关键词:
【关键词】 高龄姑息性介入治疗生活质量焦虑
文献标志码:
A
摘要:
【摘要】 目的?观察高龄晚期胃癌患者两种不同姑息性介入治疗对生活质量及焦虑状态的影响,探索对其身心双重治疗的最佳策略。方法?入选62例≥75岁确诊晚期胃癌患者,根据患者及家属治疗意愿,分为动脉灌注化疗栓塞组(TACE组)37例和金属支架置入组(支架组)25例。记录基本临床资料,所有患者术前及术后3、7、28 d进行肿瘤患者生活质量评分(QOL)及汉密尔顿焦虑量表(HAMA)评分。结果?①与术前比较,化疗栓塞组术后3 d QOL评分无统计学差异(P=0.05),术后7、28 d均升高(P<0.05);支架组,术后QOL评分均升高(P<0.05)。组间比较,术后3 d QOL评分TACE组低于支架组(P<0.05);28 d则高于支架组(P<0.05)。②与术前比较,TACE组术后3 d HAMA评分变化不显著,术后7、28 d显著下降(P<0.05);支架组,术后HAMA评分均下降(P<0.05)。组间比较,术后3 d TACE组HAMA评分高于支架组(P<0.05);而28 d则低于支架组(P<0.05)。结论?两种姑息性介入治疗对高龄晚期胃癌患者在躯体、心理两方面均可获益。支架组患者生活质量和焦虑状态在短期内可迅速改善,而TACE组患者更受益于远期疗效。

参考文献/References:

[1] Yi JC, Syrjala KL. Anxiety and depression in cancer survivors[J]. Med Clin North Am, 2017, 101: 1099-1113.
[2] 国家“863”重大项目“胃癌分子分型与个体化诊疗”课题组.胃癌病理分型和诊断标准的建议[J]. 中华病理学杂志, 2010, 39:266-269.
[3] 李冻菊. GDP测度的相关问题研究[J]. 经济统计学?季刊, 2017, 1:226-241.
[4] 中华医学会精神科分会. 中国精神障碍分类与诊断标准第三版(精神障碍分类) [J]. 中华精神科杂志, 2001, 34:184-188.
[5] 薛林强, 黄建明. 超高龄胃癌患者非手术治疗与手术治疗的效果比较[J]. 交通医学, 2017, 31: 435-437.
[6] Simning A, Conwell Y, Mohile SG, et al. The moderating effect of
age on the 12-month prevalence of anxiety and depressive disorders in adults with a lifetime history of cancer[J]. Am J Geriatr Psychiatry, 2014, 22: 1399-1409.
[7] Cardoso G, Graca J, Klut C, et al. Depression and anxiety symptoms following cancer diagnosis: a cross-sectional study[J]. Psychol Health Med, 2016, 21: 562-570.
[8] 王晓星, 贾?玫, 李?潇, 等. 恶性肿瘤相关性抑郁发病机制的临床研究进展[J]. 中国医刊, 2012, 47:24-25.
[9] Shankar A, Dracham C, Ghoshal S, et al. Prevalence of depression and anxiety disorder in cancer patients: an institutional experience[J]. Indian J Cancer, 2016, 53: 432-434.
[10] 赵洪见.胃癌介入治疗现状[J]. 青海医学杂志, 2018, 48:79-80.
[11] Song Z, Wu Y, Yang J, et al. Progress in the treatment of advanced gastric cancer[J]. Int J Surg, 2017, 45: 131-137.
[12] 陈?越, 蒋霆辉, 蒋永兴.晚期胃肠道恶性肿瘤患者姑息性介入治疗前后焦虑、抑郁及生活质量评分的临床观察[J]. 介入放射学杂志, 2007, 16:740-742.


相似文献/References:

[1]于亚梅,余云华,李 然,等.老年冠心病患者介入治疗血运重建方式临床疗效分析[J].介入放射学杂志,2017,(01):6.
 YU Ya- mei,YU Yun- hua,LI Ran,et al.Interventional revascularization therapy for the reconstruction of blood circulation in aged patients with coronary heart disease: analysis of clinical curative effect[J].journal interventional radiology,2017,(02):6.
[2]吴少杰,蔡森林,唐 仪,等.介入栓塞与经尿道电切术治疗高龄良性前列腺增生症临床对比 [J].介入放射学杂志,2019,28(02):179.
 WU Shaojie,CAI Senlin,TANG Yi,et al.Interventional embolization vs transurethral resection for the treatment of benign prostatic hyperplasia in elderly patients: a comparison study[J].journal interventional radiology,2019,28(02):179.

备注/Memo

备注/Memo:
(收稿日期:2019-03-25)
(本文编辑:俞瑞纲)
更新日期/Last Update: 2020-03-13