国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2014年
15期
2226-2228
,共3页
梁玉玲%钱雪梅%胡德红%钟美华
樑玉玲%錢雪梅%鬍德紅%鐘美華
량옥령%전설매%호덕홍%종미화
护理干预%中药%结肠癌
護理榦預%中藥%結腸癌
호리간예%중약%결장암
Nursing intervention%Chinese traditional medicine%Colon carcinoma
目的 探讨护理干预联合中药治疗对结肠癌患者术后3年营养状况及生存质量的影响.方法 137例结肠癌术后化疗患者入选广州医科大学附属第一医院2011年广东省科技课题研究.通过追踪随访,采用简易营养评价法(mini-nutrition assessment,MNA)分别评估干预组70例、对照组67例患者术后3年的营养和生存状况,记录并比较两组患者术后3年营养不良发生率、生存率、局部复发率、肿瘤转移率及死亡率.结果 干预组患者术后3年的营养不良发生率、远处转移率、死亡率均低于对照组(18.57％vs.34.33％,11.43％ vs.25.37％,5.71％ vs.16.42％;P＜ 0.05),无复发率高于对照组(77.14％ vs.50.75％;P=0.001);局部复发率无统计学差异(5.71％ vs.7.46％;P=0.680).结论 营养干预联合中药治疗能有效改善结肠癌患者术后3年的营养状况,提高患者的生存质量,降低死亡率,延长生存期.
目的 探討護理榦預聯閤中藥治療對結腸癌患者術後3年營養狀況及生存質量的影響.方法 137例結腸癌術後化療患者入選廣州醫科大學附屬第一醫院2011年廣東省科技課題研究.通過追蹤隨訪,採用簡易營養評價法(mini-nutrition assessment,MNA)分彆評估榦預組70例、對照組67例患者術後3年的營養和生存狀況,記錄併比較兩組患者術後3年營養不良髮生率、生存率、跼部複髮率、腫瘤轉移率及死亡率.結果 榦預組患者術後3年的營養不良髮生率、遠處轉移率、死亡率均低于對照組(18.57％vs.34.33％,11.43％ vs.25.37％,5.71％ vs.16.42％;P＜ 0.05),無複髮率高于對照組(77.14％ vs.50.75％;P=0.001);跼部複髮率無統計學差異(5.71％ vs.7.46％;P=0.680).結論 營養榦預聯閤中藥治療能有效改善結腸癌患者術後3年的營養狀況,提高患者的生存質量,降低死亡率,延長生存期.
목적 탐토호리간예연합중약치료대결장암환자술후3년영양상황급생존질량적영향.방법 137례결장암술후화료환자입선엄주의과대학부속제일의원2011년광동성과기과제연구.통과추종수방,채용간역영양평개법(mini-nutrition assessment,MNA)분별평고간예조70례、대조조67례환자술후3년적영양화생존상황,기록병비교량조환자술후3년영양불량발생솔、생존솔、국부복발솔、종류전이솔급사망솔.결과 간예조환자술후3년적영양불량발생솔、원처전이솔、사망솔균저우대조조(18.57％vs.34.33％,11.43％ vs.25.37％,5.71％ vs.16.42％;P＜ 0.05),무복발솔고우대조조(77.14％ vs.50.75％;P=0.001);국부복발솔무통계학차이(5.71％ vs.7.46％;P=0.680).결론 영양간예연합중약치료능유효개선결장암환자술후3년적영양상황,제고환자적생존질량,강저사망솔,연장생존기.
Objective To investigate the effect of Chinese traditional medicine combined with nursing intervention on nutritional status and 3-year survival quality of patients with colon carcinoma.Methods Clinical data of 137 patients with colon carcinoma in The First Affiliated Hospital of Guangzhou Medical College from May 2009 to March 2012 was analyzed by mini-nutritional assessment (MNA) method.All patients received surgical treatment,and were equally randomly divided into intervention group (70 cases) and control group (67 cases).Intervention group was given Chinese medicine combined with systematic nursing intervention,while control group was given conventional nutrition only.Two groups were compared in nutritional condition and complications 3 years after operation.Results Three years after operation,the incidences of poor-nutrition,remote metastasis and the mortality in intervention group were lower than those in control group (18.57％ vs.34.33％,11.43％ vs.25.37％,5.71％ vs.16.42％; P ＜ 0.05),the free-of-recurrence rate was higher than that of control group (77.14％ vs.50.75％; P =0.001); there was no statistically significant difference in local recurrence rate between two groups (5.71％ vs.7.46％; P =0.680).Conclusion The application of Chinese traditional medicine combined with nursing intervention is very important for patients with colon carcinoma,as it can improve nutritional status and life quality,reduce complications and make a longer survival.
