安徽医科大学学报
安徽醫科大學學報
안휘의과대학학보
ACTA UNIVERSITY MEDICINALIS ANHUI
2015年
6期
833-836
,共4页
张涛%于德新%张志强%闵捷%郜见亮%魏苏皖%谢栋栋%王毅%张志华%丁德茂%陈磊%邹慈%王大明
張濤%于德新%張誌彊%閔捷%郜見亮%魏囌皖%謝棟棟%王毅%張誌華%丁德茂%陳磊%鄒慈%王大明
장도%우덕신%장지강%민첩%고견량%위소환%사동동%왕의%장지화%정덕무%진뢰%추자%왕대명
肾癌%腹腔镜%手术%生活质量
腎癌%腹腔鏡%手術%生活質量
신암%복강경%수술%생활질량
renal cell carcinoma%laparoscopic%surgery%quality of life
目的：评测局限性肾癌患者腹腔镜手术前后生活质量（QoL），并探讨其变化趋势。方法使用健康调查简表（SF-36）中文版对49例接受腹腔镜手术的局限性肾癌患者进行 QoL 评测，所有纳入对象于术前1 d、术后3个月和术后6个月分别填写调查问卷并评分。将 QoL 8个维度术前得分与中国健康常模比较，将术后3个月和6个月得分分别与术前基线水平进行比较。结果本组患者生理职能（RP）、一般健康状况（GH）、精力（VT）、社会功能（ SF）、情感职能（RE）、精神健康（MH）等6个维度术前得分低于中国健康常模（P <0.05），而生理机能（PF）、躯体疼痛（BP）2个维度与中国健康常模无明显差异。PF 和 BP 术后3个月较术前下降明显（P <0.05），术后6个月恢复至术前水平；RP、GH、SF和 RE 术后3个月与术前比较差异无统计学意义，术后6个月高于术前水平（P <0.05）；VT 术后3个月和6个月与术前比较均差异无统计学意义；MH 术后3个月和6个月均较术前明显改善（P <0.05）。结论局限性肾癌患者腹腔镜手术前及手术后早期 QoL 下降明显，而术后中晚期逐步恢复或接近正常水平，对于此类患者可及早给与心理干预、行为指导甚至药物治疗，改善患者 QoL。
目的：評測跼限性腎癌患者腹腔鏡手術前後生活質量（QoL），併探討其變化趨勢。方法使用健康調查簡錶（SF-36）中文版對49例接受腹腔鏡手術的跼限性腎癌患者進行 QoL 評測，所有納入對象于術前1 d、術後3箇月和術後6箇月分彆填寫調查問捲併評分。將 QoL 8箇維度術前得分與中國健康常模比較，將術後3箇月和6箇月得分分彆與術前基線水平進行比較。結果本組患者生理職能（RP）、一般健康狀況（GH）、精力（VT）、社會功能（ SF）、情感職能（RE）、精神健康（MH）等6箇維度術前得分低于中國健康常模（P <0.05），而生理機能（PF）、軀體疼痛（BP）2箇維度與中國健康常模無明顯差異。PF 和 BP 術後3箇月較術前下降明顯（P <0.05），術後6箇月恢複至術前水平；RP、GH、SF和 RE 術後3箇月與術前比較差異無統計學意義，術後6箇月高于術前水平（P <0.05）；VT 術後3箇月和6箇月與術前比較均差異無統計學意義；MH 術後3箇月和6箇月均較術前明顯改善（P <0.05）。結論跼限性腎癌患者腹腔鏡手術前及手術後早期 QoL 下降明顯，而術後中晚期逐步恢複或接近正常水平，對于此類患者可及早給與心理榦預、行為指導甚至藥物治療，改善患者 QoL。
목적：평측국한성신암환자복강경수술전후생활질량（QoL），병탐토기변화추세。방법사용건강조사간표（SF-36）중문판대49례접수복강경수술적국한성신암환자진행 QoL 평측，소유납입대상우술전1 d、술후3개월화술후6개월분별전사조사문권병평분。장 QoL 8개유도술전득분여중국건강상모비교，장술후3개월화6개월득분분별여술전기선수평진행비교。결과본조환자생리직능（RP）、일반건강상황（GH）、정력（VT）、사회공능（ SF）、정감직능（RE）、정신건강（MH）등6개유도술전득분저우중국건강상모（P <0.05），이생리궤능（PF）、구체동통（BP）2개유도여중국건강상모무명현차이。PF 화 BP 술후3개월교술전하강명현（P <0.05），술후6개월회복지술전수평；RP、GH、SF화 RE 술후3개월여술전비교차이무통계학의의，술후6개월고우술전수평（P <0.05）；VT 술후3개월화6개월여술전비교균차이무통계학의의；MH 술후3개월화6개월균교술전명현개선（P <0.05）。결론국한성신암환자복강경수술전급수술후조기 QoL 하강명현，이술후중만기축보회복혹접근정상수평，대우차류환자가급조급여심리간예、행위지도심지약물치료，개선환자 QoL。
Objective To evaluate and analyze the preoperative baseline and postoperative quality of life(QoL)of patients undergoing laparoscopic surgery for localized renal cell carcinoma. Methods A clinical study was prospec-tively accomplished in 49 patients with localized renal cell carcinoma undergoing laparoscopic surgery. The QoL scores were evaluated with the 36-item Short-Form Health Survey(SF-36)questionnaire(Chinese version)in 1 day preoperatively and 3,6 months postoperatively. The preoperative baseline QoL scores were compared with norm for the Chinese population,and 3,6 months postoperative QoL scores were compared with preoperative baseline lev-el respectively. Results The scores of role-physical(RP),general health(GH),vitality(VT),social functio-ning(SF),role-emotional(RE)and mental health(MH)of our sample were lower compared with norm for the Chinese population(P < 0. 05),but there was no significant difference between our sample and Chinese norm in the scores of physical function(PF)and body pain(BP). The scores of PF and BP were decreased significantly 3 months postoperative(P < 0. 05),and returned to the preoperative baseline level in 6 months postoperative. There was no significant difference in the scores of RP,GH,SF and RE between 3 months postoperative and preoperative baseline level,but it was improved significantly 3 months later(P < 0. 05). There was also no significant difference in the scores of VT between 3,6 months postoperative and preoperative level. It was improved significantly in both 3 and 6 months postoperative compared with preoperative baseline in MH(P < 0. 05). Conclusion The QoL of patients with localized renal cell carcinoma is impaired in preoperative and early postoperative period,and gradually returns to or near to normal in later. So,it is necessary to give psychological intervention,behavioral guidance or medication to those patients as early as possible to improve their QoL.
