摘要
目的分析晚期肿瘤患者的生存状况,探讨影响患者生存率和生存时间的因素,为肿瘤的临床实践提供依据。方法对某宁养院收治的674例晚期肿瘤患者进行随访调查,计算其中位生存期、生存率,进行生存分析。结果全部因所患肿瘤死亡病例的中位生存期为12.00个月,平均生存期为25.05个月。1年累计生存率为(0.518±0.020),5年累计生存率为(0.088±0.012)。性别、确诊年龄、原发诊断、手术与否和疼痛出现的时间对生存期的影响有统计学意义。结论晚期肿瘤患者的生存期相对较短,早发现、早确诊,有效的手术治疗和疼痛控制,合理的营养供给和积极的综合干预是延长肿瘤患者生存时间的最主要手段。
Objective To analyze the survival condition of patients with late stage cancer in hospice care and explore factors influencing the patients＇ survival rate and survival time,so as to provide evidence for clinical practice on cancer patients.Methods A total of 674 patients with late stage cancer and receiving hospice service were recruited in the follow-up survey.The median survival time and survival rate were calculated and survival analysis was made.Results The median survival time of all the patients dying of the diagnosed cancer was 12.00 months and the average survival time was 25.05 months.The 1-year cumulative survival rate was 0.518±0.020 and the 5-year cumulative survival rate was 0.088±0.012.Gender,age of confirmed diagnosis,primary diagnosis,receiving operation or not and pain appearing time influenced survival time statistically.Conclusions The survival time of patients with late stage cancer is comparatively short.Early detection,early confirmed diagnosis,effective operation and pain control,rational nutrition provision and active comprehensive intervention are the most important measures to prolong their survival time and improve their quality of life.
出处
《实用预防医学》
CAS
2012年第6期814-816,共3页
Practical Preventive Medicine
基金
辽宁省科学技术社会发展攻关计划(2009225010-30)
关键词
晚期肿瘤
居家宁养
生存期
生存分析
Late stage cancer
Hospice care
Survival time
Survival analysis
