CAJ | 학술논문

【目的】分析门诊恶性肿瘤患者抽血晕针原因。【方法】对在门诊抽血的恶性肿瘤患者进行一般情况评估，评估方法参照美国东部肿瘤协作组（Eastern Cooperative Oncology Group ，ECOG）评分、TNM分期、治疗、检查及护士采血情况等资料进行收集，用Poisson回归分析发生晕针原因的影响因素。【结果】晕针患者中：女性高于男性， ECOG评分≥2分患者高于＜2分患者，TNM分期中Ⅵ期患者高于Ⅲ期患者，化疗周期≥4周期患者高于≤3周期患者，血色素水平≤9g／L患者高于＞9g／L患者，空腹采血患者高于餐后采血患者，采血穿刺次数≥2次患者高于1次患者，采血时间≥3 min患者高于＜3 min患者。年龄＞60岁患者略高于≤60岁患者，白细胞＞10×109／L或＜4×109／L患者略高于≤4～10×109／L患者。【结论】肿瘤患者晕针原因与性别、ECOG评分、TNM分期、化疗周期、血色素水平、空腹采血、采血穿刺次数、采血持续时间有关，与年龄、白细胞水平的关系无统计学意义。
【목적】분석문진악성종류환자추혈훈침원인。【방법】대재문진추혈적악성종류환자진행일반정황평고，평고방법삼조미국동부종류협작조（Eastern Cooperative Oncology Group ，ECOG）평분、TNM분기、치료、검사급호사채혈정황등자료진행수집，용Poisson회귀분석발생훈침원인적영향인소。【결과】훈침환자중：녀성고우남성， ECOG평분≥2분환자고우＜2분환자，TNM분기중Ⅵ기환자고우Ⅲ기환자，화료주기≥4주기환자고우≤3주기환자，혈색소수평≤9g／L환자고우＞9g／L환자，공복채혈환자고우찬후채혈환자，채혈천자차수≥2차환자고우1차환자，채혈시간≥3 min환자고우＜3 min환자。년령＞60세환자략고우≤60세환자，백세포＞10×109／L혹＜4×109／L환자략고우≤4～10×109／L환자。【결론】종류환자훈침원인여성별、ECOG평분、TNM분기、화료주기、혈색소수평、공복채혈、채혈천자차수、채혈지속시간유관，여년령、백세포수평적관계무통계학의의。
[Objective] To analyze the reasons of acupuncture syncope for malignant tumor outpatients during hemo ‐spasia .[Methods] General conditions of outpatients with malignant tumor receiving hemospasia were evaluated by the method referring to American eastern cooperative oncology group (ECOG) .The data such as TNM stage ,treatment ,ex‐amination and the situation of blood collection by nurses were collected .The influential factors of acupuncture syncope were analyzed by Poisson regression method .[Results] Among the patients with acupuncture syncope ,the females were more than males ,and patients with ECOG score ≥2 were more than those with ECOG score < 2 ,and patients with TNM stage Ⅵ were more than those with TNM stage Ⅲ ,and the patients with chemotherapy cycle ≥4 weeks were more than those with chemotherapy cycle ≤3 week ,and the patients with hemoglobin level ≤9g/L were more than those with hemoglobin level >9g/L ,and the patients with fasting blood collection were more than those with post‐meal blood collec‐tion ,and the patients with puncture ≥2 times were more than those with puncture for only once ,and the patients with blood collection duration ≥3min were more than those with blood collection duration <3min ,and the patients with age>60 years old were slightly more than those with age ≤ 60 years old ,and the patients with white blood count >10 × 109/L were slightly more than those with white blood count ≤10 × 109/L .[Conclusion]The reasons of acupuncture syn‐cope for cancer patients are related to gender ,ECOG score ,TNM stage ,chemotherapy cycles ,hemoglobin level ,fasting blood collection and the frequency and duration of venipuncture ,but its correlation with age and white blood count has no statistical significance .