胃癌根治术后患者生活质量评价  

Quality of life in patients with gastric cancer after radical operation

作　　者：姚坤厚[1] 孟继明[1] 

机构地区：[1]河南大学淮河医院普外科,河南开封475000

出　　处：《新乡医学院学报》2016年第8期710-711,715,共3页Journal of Xinxiang Medical University

摘　　要：目的评价胃癌根治术后患者远期生活质量。方法选择2009年1月至2010年1月河南大学淮河医院收治的行胃癌根治术患者53例作为研究对象。采用生命质量指标(QL-Index)量表对患者术后1、3、6、12和24个月生活质量进行评分,并记录各时间点患者并发症发生情况。结果 42例患者获得完整随访资料,胃癌根治术后患者总体生活质量随时间的延长逐渐提高,其中活动、日常生活、健康及精神评分随时间延长明显增加(P<0.05);而支持评分随时间推移明显下降(P<0.05)。术后各时间点患者食欲下降、腹胀、反流及倾倒综合征等并发症发生率比较差异无统计学意义(P>0.05)。结论胃癌根治术患者术后生活质量随时间增加逐步提高。Objective To appraise the long-term quality of life in patients with gastric cancer after radical operation. Methods Fifty-three patients with gastric cancer who underwent radical operation in Huaihe Hospital of Henan University from January 2009 to January 2010 were selected. The quality of life index（QL-Index） scale was used to appraise the quality of life of all patients at 1 month ,3,6,12 and 24 months after operation;meanwhile, the incidence of complication of patients at each time point was recorded. Results Forty-two patients obtained a complete follow-up data. The overall score of quality of life increased gradually with the lengthening of time （ P 〈 0.05 ） ; the score of activity, daily activities, health and mental in- creased gradually with the lengthening of time （P 〈 0.05 ） ;but the score of support decreased gradually with the lengthening of time （ P 〈 0.05 ）. There was no statistic difference of the incidence of the loss of appetite, abdominal distension, regurgitation and dumping syndrome at each time point （ P 〉 0.05 ）. Conclusion The quality of life of patients with gastric cancer after rad- ical surgery improve gradually with the lengthening of time.

关 键 词：胃癌 根治术 生活质量 

分 类 号：R735.2[医药卫生—肿瘤]