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目的:探讨远端胃大部切除术对术后长期生存的胃癌患者生活质量的影响。方法:选取我院2009年1月-2010年2月接受过根治性远端胃大部切除术后的长期生存患者共120例作为观察组,同时选取同阶段健康对象120例作为对照组,使用韩国版本的生活质量调查表QLQ-C30评估两组对象近5年内的生活质量。结果:观察组QLQ-C30总体得分为(63.4±22.4),对照组总体得分为(61.2±22.5),相比差异无统计学意义(P>0.05)。在具体的功能得分上,观察组在情感功能、认知功能上明显高于对照组,相比差异有统计学意义(P<0.05),同时观察组在恶心呕吐、经济困难两项功能得分上明显低于对照组,相比差异有统计学意义(P<0.05)。结论:远端胃大部切除术后长期生存的胃癌患者在健康情况以及生活质量上与健康人相比并无差异,然而在疲劳、恶心、呕吐、经济困难等症状上明显不如健康人群。
Objective: To investigate the effect of distal gastrectomy on the quality of life of patients with long-term survival of gastric cancer. Methods: A total of 120 long-term survival patients who underwent radical distal gastrectomy in our hospital from January 2009 to February 2010 were selected as the observation group. 120 healthy subjects at the same period were selected as the control group, The Korean version of the QLQ-C30 questionnaire assessed the quality of life of the two groups over the past 5 years. Results: The overall score of QLQ-C30 in the observation group was (63.4 ± 22.4), while the control group was (61.2 ± 22.5). There was no significant difference between the two groups (P> 0.05). In the specific functional score, the observation group was significantly higher in emotional function and cognitive function than the control group (P <0.05). At the same time, the observation group had significant difference in scores of nausea, vomiting and economic hardship Significantly lower than the control group, the difference was statistically significant (P <0.05). CONCLUSION: Long-term survivors of gastric cancer after distal gastrectomy have no difference in their health and quality of life compared with those in healthy people. However, symptoms of fatigue, nausea, vomiting and financial difficulties are obviously not as good as those in healthy people.