护理干预联合中药治疗对结肠癌患者术后3年生存质量的影响  

Effect of Chinese traditional medicine combined with nursing intervention on 3-year survival quality of patients with colon carcinoma

作　　者：梁玉玲[1] 钱雪梅[2] 胡德红[2] 钟美华[2] 

机构地区：[1]广东省气象局医务室,广州510080 [2]广州医科大学附属第一医院,510120

出　　处：《国际医药卫生导报》2014年第15期2226-2228,共3页International Medicine and Health Guidance News

基　　金：2011年广东省社会发展领域科技计划项目（粤科社字[2011]106号）

摘　　要：目的探讨护理干预联合中药治疗对结肠癌患者术后3年营养状况及生存质量的影响。方法137例结肠癌术后化疗患者入选广州医科大学附属第一医院2011年广东省科技课题研究。通过追踪随访，采用简易营养评价法（mini—nutrition assessment，MNA）分别评估干预组70例、对照组67例患者术后3年的营养和生存状况，记录并比较两组患者术后3年营养不良发生率、生存率、局部复发率、肿瘤转移率及死亡率。结果干预组患者术后3年的营养不良发生率、远处转移率、死亡率均低于对照组（18．57％VS．34．33％，11．43％VS．25．37％，5．71％VS．16．42％；P〈0．05），无复发率高于对照组（77．14％VS．50．75％；P=0．001）；局部复发率无统计学差异（5．71％VS．7．46％；P=0．680）。结论营养干预联合中药治疗能有效改善结肠癌患者术后3年的营养状况，提高患者的生存质量，降低死亡率，延长生存期。Objective To investigate the effect of Chinese traditional medicine combined with nursing intervention on nutritional status and 3-year survival quality of patients with colon carcinoma. Methods Clinical data of 137 patients with colon carcinoma in The First Affiliated Hospital of Guangzhou Medical College from May 2009 to March 2012 was analyzed by mini-nutritional assessment （MNA） method. All patients received surgical treatment, and were equally randomly divided into intervention group （70 cases） and control group （67 cases）. Intervention group was given Chinese medicine combined with systematic nursing intervention, while control group was given conventional nutrition only. Two groups were compared in nutritional condition and complications 3 years after operation. Results Three years after operation, the incidences of poor-nutrition, remote metastasis and the mortality in intervention group were lower than those in control group （18.57% vs.34.33%, ＇11.43% vs.25.37%, 5.71% vs.16.42%; P 〈 0.05）, the free-of-recurrence rate was higher than that of control group （77.14% vs.50.75%; P = 0.001）; there was no statistically significant difference in local recurrence rate between two groups （5.71% vs.7.46%;P = 0.680）. Conclusion The application of Chinese traditional medicine combined with nursing intervention is very important for patients with colon carcinoma, as it can improve nutritional status and life quality, reduce complications and make a longer survival.

关 键 词：护理干预 中药 结肠癌 

分 类 号：R473.73[医药卫生—护理学]