精确放射治疗技术在老年肿瘤患者治疗中的应用  

Application of precise radiotherapy in the treatment of cancer in elderly patients

作　　者：张武[1] 庄晓曌[1] 王奋[1] 刘光洪[1] 邢增宝[1] Zhang Wu;Zhuang Xiaojun;Wang Fen;L iu Guanghong;Xing Zengbao(Department of Radiology, Hainan Provincial People＇s Hospital, 570102 Haikou ,China)

机构地区：[1]海南省人民医院放射科,海口570102

出　　处：《中华老年医学杂志》2018年第6期680-682,共3页Chinese Journal of Geriatrics

摘　　要：目的探讨精确放射治疗技术在老年肿瘤患者治疗中的应用。方法选取2012年1月至2015年12月我院收治的88例老年晚期肿瘤患者，根据治疗方式不同将其分为两组，对照组（44例）患者接受传统放射治疗，研究组（44例）患者接受精确放射治疗，并比较不同组患者临床治疗效果以及不良反应发生率。结果临床治疗总有效率研究组[56.8%（25/44）]高于对照组[40.9%（18/44）]，但比较差异无统计学意义（χ^2＝2.228，P＝0.135）；临床疾病控制率研究组[77.3%（34/44）]高于对照组[56.8%（25/44）]（χ^2＝4.166，P＝0.041）；不良反应发生率研究组[43.2%（19/44）]低于对照组[68.2%（30/44）]（χ^2＝5.572，P＝0.018）。结论精确放射治疗在治疗老年肿瘤患者中临床疗效确切，且不良反应发生率相对较少，值得推广借鉴。ObjectiveTo explore the clinical effect of precise radiotherapy in the treatment of cancer in elderly patients.MethodsWe selected 88 elderly patients with advanced cancer at our hospital from January 2012 to December 2015.The patients were assigned into a control group（n=44）treated with conventional radiation therapy and an intervention group（n=44）receiving precise radiation therapy.Clinical effects and treatment reactions and adverse events were compared between the two groups.ResultsThe total effective rate was higher in the intervention group than in the control group, but the difference was not significant[40.9%（18/44）vs 56.8%（25/44）, χ^2=2.228, P=0.135]. The control rate of clinical diseases was higher in the intervention group[77.3%（34/44）]than in control group[56.8%（25/44）]（χ^2=4.166, P=0.041）. The incidence of adverse reactions was significantly lower in the intervention group[43.2%（19/44）]than in the control group[68.2%（30/44）], （χ^2=5.572, P=0.018）.ConclusionsPrecise radiotherapy has a precisely clinical efficacy and a lower incidence of adverse events.It is worth recommending and generalizing.

关 键 词：肿瘤 放射疗法 

分 类 号：R730.55[医药卫生—肿瘤]