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[目的]评估胃癌患者术后生存质量并探讨年龄对生存质量的影响。[方法]将135例胃癌患者随机分为老年组(≥60岁)和非老年组(<60岁),于确诊并行胃癌根治术后7 d用生存质量问卷(EORTC QLQ-C30)比较其差异。[结果]老年组术后住院时间长于非老年组(P<0.05);术后肺部感染和伤口感染的发生率高于非老年组(P<0.05)。QLQ-C30评分,功能子量表的躯体功能得分老年组低于非老年组(P<0.05);角色功能、情绪功能得分老年组高于非老年组(P<0.05)。症状子量表中的疼痛症状得分老年组低于非老年组(P<0.05)。其他测量项目的睡眠困难得分老年组高于非老年组(P<0.05)。总体健康子量表得分老年组高于非老年组(P<0.05)。[结论]老年胃癌患者术后生存质量总体上较非老年患者更高,但在躯体功能、睡眠等方面生存质量较低,应在围手术期采取针对性的措施。
[Objective] To evaluate the postoperative quality of life of patients with gastric cancer and explore the effect of age on the quality of life. [Methods] A total of 135 gastric cancer patients were randomly divided into the elderly group (≥60 years old) and the non-elderly group (≤60 years old). The quality of life questionnaire (EORTC QLQ-C30) . [Results] The postoperative hospital stay in the elderly group was longer than that in the non-elderly group (P <0.05). The incidence of pulmonary infection and wound infection in the elderly group was higher than that in the non-elderly group (P <0.05). The body function scores of QLQ-C30 score and functional subscales in the elderly group were lower than those in the non-elderly group (P <0.05). The role and emotional function scores of the elderly group were higher than those in the non-elderly group (P <0.05). Symptoms in the sub-scale pain scores were lower in the elderly group than in the non-elderly group (P <0.05). Sleepiness scores for other measures were higher in the elderly group than in the non-elderly group (P <0.05). The overall health subscale scored higher in the elderly group than in the non-elderly group (P <0.05). [Conclusion] The quality of life of elderly patients with gastric cancer is generally higher than that of non-elderly patients, but their quality of life is low in physical function, sleep, etc., and specific measures should be taken during perioperative period.