CAJ | 학술논문

【目的】探讨原发性胃癌外科根治手术患者术后疲劳综合征(POFS)的影响因素。【方法】选取2012年8月至2014年8月在本院接受外科手术根治手术治疗的原发性胃癌患者60例。应用视觉模拟疲劳尺(VAS)和匹兹堡睡眠质量指数(PSQI)等指标对患者进行术后评估,并分析性别、年龄、肿瘤分期、手术方式、营养方式等对患者 POFS 的影响。【结果】男性患者、肿瘤分期越晚、年龄越大的患者其 VAS、PSQI 得分越高,术后康复指标越差,差异具有统计学意义(P <0.05)。腹腔镜胃癌根治术患者的 POFS 症状比开腹手术患者的症状轻,SE 组患者比 EN 组患者的 POFS 症状轻,差异具有统计学意义(P <0.05)。【结论】女性、肿瘤分期早、腹腔镜手术、营养干预、年龄小是 POFS 的保护因素,男性、肿瘤分期晚、开腹手术、年龄大是POFS 的危险因素。
【목적】탐토원발성위암외과근치수술환자술후피로종합정(POFS)적영향인소。【방법】선취2012년8월지2014년8월재본원접수외과수술근치수술치료적원발성위암환자60례。응용시각모의피로척(VAS)화필자보수면질량지수(PSQI)등지표대환자진행술후평고,병분석성별、년령、종류분기、수술방식、영양방식등대환자 POFS 적영향。【결과】남성환자、종류분기월만、년령월대적환자기 VAS、PSQI 득분월고,술후강복지표월차,차이구유통계학의의(P <0.05)。복강경위암근치술환자적 POFS 증상비개복수술환자적증상경,SE 조환자비 EN 조환자적 POFS 증상경,차이구유통계학의의(P <0.05)。【결론】녀성、종류분기조、복강경수술、영양간예、년령소시 POFS 적보호인소,남성、종류분기만、개복수술、년령대시POFS 적위험인소。
[Objective]To study the risk and protective factors of POFS of patients with primary gastric cancer underwent radical surgiery.[Methods]60 cases of primary gastric cancer patients underwent radical treatment were selected in our hospital from August 2012 to August 2014.The visual analogue scale (VAS) fatigue and Pittsburgh sleep quality index (PSQI)on the patients were used for postoperative observation to study the effect of patients POFS influenced by the factors like sex,tumor stage,operation method and nutri-tion conditions.[Results]Those related to male,later tumor staging and older age get higher scores in VAS、PSQI,while their postoperative recovery index tended to be lower,the difference had statistical significance (P <0.05).The POFS symptoms of patients with laparoscopic gastric cancer radical therapy are lighter than those underwnt open operation.The POFS symptoms of patients in the SE group is lighter than patients in the EN group,the difference had statistical significance (P <0.05).[Conclusion]Female,early cancer stage,lap-aroscopic surgery,nutrition intervention and younger age compose the protective factors,while male,later tumor stage,open operation and senior age make the risk factors .