进展期胃中上部癌行腹腔镜后康复效果的影响因素分析  

Analysis on influence factor for rehabilitation efficacy of middle-upper gastric cancer in progressive stage after laparoscope

作　　者：徐飞鹏[1] 许庆文[1] 鲁珏[1] 林琳[1] 黄哲[1] 周才进[1] 王妃凤[1] 朱文劲[1] 

机构地区：[1]广东医学院附属医院胃肠外科,524001

出　　处：《中国实用医药》2017年第14期5-7,共3页China Practical Medicine

基　　金：卫生部医药卫生科技发展研究中心课题项目(项目编号:W2015RQ07)

摘　　要：目的探讨分析进展期胃中上部癌行腹腔镜后康复效果的影响因素。方法 90例进展期胃中上部癌行腹腔镜治疗患者为研究对象,随访观察6个月后,由肿瘤科专家团队对患者的康复状况进行评定,比较不同因素组患者康复效果评分之间的差异。结果家庭月收入<2000元、T4b分期、肿瘤直径≥5 cm、有淋巴结转移、有抑郁症状的患者康复状况评分(6.09±1.66)、(6.45±1.86)、(5.98±1.48)、(6.03±1.75)、(6.12±1.83)分高于家庭收入≥2000元、(T2、T3、T4a期)、肿瘤直径<5 cm、无淋巴结转移、无抑郁症状患者的(5.31±1.10)、(5.34±1.05)、(5.27±1.13)、(5.28±1.02)、(5.39±1.26)分,差异均有统计学意义(P<0.05)。其他因素组康复效果评分比较差异均无统计学意义(P>0.05)。结论家庭月收入<2000元、T4b分期、肿瘤直径≥5 cm、有淋巴结转移、有抑郁症状的患者较其他患者的康复效果差,针对这些高危因素的患者,应该鼓励家庭和社会给予充分的支持,争取相关政策减轻患者经济负担,适当予以心理护理调节负面情绪,加强辅助治疗与康复护理,提高康复效果、改善预后。Objective To explore and analyze the influence factor for rehabilitation efficacy of middle- upper gastric cancer in progressive stage after laparoscope. Methods There were 90 patients with middle- upper gastric cancer in progressive stage receiving laparoscopic therapy as study subjects, and their rehabilitation status was evaluated by oncology expert team after 6 months of follow-up and observation, so as to compare the difference of rehabilitation efficacy in different factors groups. Results Patients had rehabilitation status score of family＇ s month-earning 〈2000 yuan, T4b staging, diameter of tumor ≥ 5 cm, lymphatic metastasis and depressive symptoms cases as （6.09± 1.66）, （6.45 ± 1.86）, （5.98 ± 1.48）, （6.03 ± 1.75） and （6.12 ± 1.83） points, which were higher than （5.31 ± 1.10）, （5.34 ± 1.05）, （5.27 ± 1.13）, （5.28 ± 1.02） and （5.39 ± 1.26） points in patients with family＇ s month-earning ≥ 2000 yuan, T2, T3 and T4a staging, diameter of tumor 〈5 cm, non lymphatic metastasis and non depressive symptoms cases, and their difference had statistical significance （P〈0.05）. There was no statistically significant difference of rehabilitation efficacy in different factors groups （P〉0.05）. Conclusion Patients with family＇ s month-earning 〈 2000 yuan, T4b staging, diameter of tumor ≥ 5 cm, lymphatic metastasis and depressive symptoms cases has poorer rehabilitation efficacy than other patients. For patients with these high risk factors, families and society should be encouraged to give adeqpate support and relevant policies should be implemented to reduce the economic burden of patients. Appropriate psychological care should be given to adjust the negative emotions, and auxiliary treatment and rehabilitation nursing should be strengthened to improve the rehabilitation efficacy and prognosis.

关 键 词：胃中上部癌 进展期 腹腔镜 康复效果 影响因素 

分 类 号：R735.2[医药卫生—肿瘤]