中华健康管理学杂志
中華健康管理學雜誌
중화건강관이학잡지
CHINESE JOURNAL OF HEALTH MANAGEMENT
2008年
4期
210-212
,共3页
膀胱肿瘤%肿瘤复发%健康促进
膀胱腫瘤%腫瘤複髮%健康促進
방광종류%종류복발%건강촉진
Bladder cancer%Recurrence%Health promotion
目的 观察健康促进手段对膀胱癌术后患者肿瘤复发、生活质量及自我感受评价的影响.方法 选取2002年3月至2005年3月我院104例浅表性膀胱癌术后患者随机分为两组,一组单独使用卡介苗(单独BCG组)膀胱灌注治疗,另一组使用卡介苗(BCG)膀胱灌注治疗同时行健康促进手段(BCG+健康促进组),观察其肿瘤复发、生活质量及自我感受评价.结果 所有病例随访7.3～36.0个月,平均28.5个月.单独BCG组复发17(17/51)例,0～12个月、13～24个月、25～36个月分别为2、6、9例,第1年复发率为3.9%,第2年复发率为11.8%,第3年复发率为17.6%;BCG+健康促进组复发11(11/53)例,0～12个月、13～24个月、25～36个月分别为2、7、2例,第1年复发率为3.8%,第2年复发率为13.2%,第3年复发率为3.8%,第1、第2年两组复发率差异无统计学意义(均P>0.05),第3年两组复发率差异有统计学意义(x2=5.29,P<0.05).两组首次膀胱癌术后出院时症状自评量表(SCL-90)自我感受评分和生活质量评分比较,差异无统计学意义(P>0.05),随诊满3年进行生活质量及自我感受评价,BCG+健康促进组生活质量明显改善(x2=6.47,P<0.05),自我感受评价负面情绪明显减少(P<0.01).结论 对膀胱癌术后患者使用健康促进手段可显著降低其远期肿瘤复发率,并能明显改善患者的生活质量及自我感受.
目的 觀察健康促進手段對膀胱癌術後患者腫瘤複髮、生活質量及自我感受評價的影響.方法 選取2002年3月至2005年3月我院104例淺錶性膀胱癌術後患者隨機分為兩組,一組單獨使用卡介苗(單獨BCG組)膀胱灌註治療,另一組使用卡介苗(BCG)膀胱灌註治療同時行健康促進手段(BCG+健康促進組),觀察其腫瘤複髮、生活質量及自我感受評價.結果 所有病例隨訪7.3～36.0箇月,平均28.5箇月.單獨BCG組複髮17(17/51)例,0～12箇月、13～24箇月、25～36箇月分彆為2、6、9例,第1年複髮率為3.9%,第2年複髮率為11.8%,第3年複髮率為17.6%;BCG+健康促進組複髮11(11/53)例,0～12箇月、13～24箇月、25～36箇月分彆為2、7、2例,第1年複髮率為3.8%,第2年複髮率為13.2%,第3年複髮率為3.8%,第1、第2年兩組複髮率差異無統計學意義(均P>0.05),第3年兩組複髮率差異有統計學意義(x2=5.29,P<0.05).兩組首次膀胱癌術後齣院時癥狀自評量錶(SCL-90)自我感受評分和生活質量評分比較,差異無統計學意義(P>0.05),隨診滿3年進行生活質量及自我感受評價,BCG+健康促進組生活質量明顯改善(x2=6.47,P<0.05),自我感受評價負麵情緒明顯減少(P<0.01).結論 對膀胱癌術後患者使用健康促進手段可顯著降低其遠期腫瘤複髮率,併能明顯改善患者的生活質量及自我感受.
목적 관찰건강촉진수단대방광암술후환자종류복발、생활질량급자아감수평개적영향.방법 선취2002년3월지2005년3월아원104례천표성방광암술후환자수궤분위량조,일조단독사용잡개묘(단독BCG조)방광관주치료,령일조사용잡개묘(BCG)방광관주치료동시행건강촉진수단(BCG+건강촉진조),관찰기종류복발、생활질량급자아감수평개.결과 소유병례수방7.3～36.0개월,평균28.5개월.단독BCG조복발17(17/51)례,0～12개월、13～24개월、25～36개월분별위2、6、9례,제1년복발솔위3.9%,제2년복발솔위11.8%,제3년복발솔위17.6%;BCG+건강촉진조복발11(11/53)례,0～12개월、13～24개월、25～36개월분별위2、7、2례,제1년복발솔위3.8%,제2년복발솔위13.2%,제3년복발솔위3.8%,제1、제2년량조복발솔차이무통계학의의(균P>0.05),제3년량조복발솔차이유통계학의의(x2=5.29,P<0.05).량조수차방광암술후출원시증상자평량표(SCL-90)자아감수평분화생활질량평분비교,차이무통계학의의(P>0.05),수진만3년진행생활질량급자아감수평개,BCG+건강촉진조생활질량명현개선(x2=6.47,P<0.05),자아감수평개부면정서명현감소(P<0.01).결론 대방광암술후환자사용건강촉진수단가현저강저기원기종류복발솔,병능명현개선환자적생활질량급자아감수.
Objective To observe the effects of health promotion on tumor recurrence,quality of life and self feeling evaluation of patients with superficial bladder carcinoma.Methods 104 patients with superficial bladder carcinoma treated in our hospital from March 2002 to March 2005 were divided to two groups randomly.The patients in one group were treated by bladder irrigation with Bacille Calmette Guerin (BCG)simply,and those in the other group were treated by bladder irrigation and health promotion.Tumor recurrence,quality of life and self feeling evaluation between the two groups were compared.Results All patients were foUowed up for 7.3-36.0 months(mean 28.5 months).17 patients(15/51)in the simple BCG irrigation group had tumor recurrence in 0-12 months(2 patients),13-24 months(6)and 25- 36months(9)respectively.The recurrence rate in the first year was 3.9%.in the second year 11.8% and in the third year 17.6%.Eleven(11/53)patients had in the BCG irrigation and health promotion group.in 0-12 months(2),13-24 months(7),and 25-36 months(2)respectively.The recurrence rate in the first year was 3.8%.in the second year 13.2%.and in the third year 3.8%.There were no significant differences in the recurrence rates of the first and second year between the two groups(P>0.05).but there was significant difieFence in the recurrence rate of the third year between the two group(Y2=5.29,P< 0.05).There were no significant difierences in self feeling SCL-90 evaluation and quality evaluation of life after the first discharging between the two groups(P>0.05).After 3-year follow up,the life quality of the patients in the BCG irrigation and health promotion group was improved obviously compared with the simple BCG group(X2=6.47,P<0.05),and the bad negative emotion was diminished obviously compared with the simple BCG group(P<0.05).Conclusion Health promotion after operation on the patients with superficial bladder carcinoma can decrease the long-term tumor recurrence rate obviously,and improve the quality of life and self feeling significantly.
