老年胃癌患者手术后并发症与生存率和生活质量的相关性  

Correlation of complication with survival and quality of life in elderly gastric patients after postoperative surgery

作　　者：金钟[1] 马蕾[2] 肖开提.阿 王云海[1] 何铁汉[1] 

机构地区：[1]新疆医科大学第一附属医院VIP外一科,乌鲁木齐830054 [2]新疆维吾尔自治区人民医院肿瘤内科,乌鲁木齐830001

出　　处：《中国肿瘤临床与康复》2015年第2期145-148,共4页Chinese Journal of Clinical Oncology and Rehabilitation

摘　　要：目的探讨老年胃癌患者手术后并发症的发生与患者生存率和生活质量的相关性。方法 2008年3月至2010年5月间收治的150例手术治疗的老年胃癌患者,按照手术后是否发生并发症分为有并发症组和无并发症组,每组75例。患者随访3年,随访信息包括是否存活和疾病相关生活质量调查。结果无并发症组患者的生存时间明显高于有并发症组患者(P<0.05);两组患者在出院前与出院后24个月的生活质量评分比较,差异无统计学意义(P>0.05);但出院后12个月与36个月生活质量评分比较,差异有统计学意义(P<0.05)。有并发症组患者中,随着生存率的降低,生活质量评分降低(P<0.05);而无并发症组患者中,生存率与生活质量间无关(P>0.05)。结论老年胃癌患者手术后并发症可严重影响生存率和生活质量,临床上应加以预防。Objective To investigate correlation of complication with survival and quality of life（ QOL） in elderly gastric patients after postoperative surgery. Methods A total of 150 patients with elderly gastric cancer after surgery were selected from March 2008 to May 2010 and divided into complication group（ 75 cases） and non-complication group（ 75 cases） according to whether having complications. 3-years follow-up was conducted in terms of survival and QOL. Results The survival time of non-complication group was longer than that of complication group（ P〈0. 05）. Scores of QOL in patients before discharge from hospital and after discharge from hospital 24 months were similar between the two groups. However,the scores of QOL after discharge from hospital 12 months and 36 months were significantly different（ P〈0. 05）. The scores of QOL in patients of complication group decreased along with lower survival. There was no correlation between the survival and QOL in patients of non-complication group（ P〉0. 05）. Conclusion Postoperative complications in elderly patients with gastric cancer can seriously affect the survival and QOL and should be prevented.

关 键 词：老年人 胃肿瘤 手术后并发症 生活质量 

分 类 号：R735.2[医药卫生—肿瘤]