摘要
[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 assess early postoperative quality of life in gastric cancer patients and discuss the influence of old age on that. [ Methods] A group of 135 patients were randomly divided into elderly group （aged ≥ 60） and non -elderly group （aged 〈 60） , who were diagnosed with gastric cancer and received radical gastrectomy. Postoperatively 7 days, assessment and comparison were made between khe two groups by means of the questionnaire QLQ - c30 of Chinese version. [ Results ] The incidence of postoperative complication of pulmonary infection and wound infection were higher in elderly group （ P 〈 0. 05）. In QLQ -c30 assessment, the physical function score of functional subscale in elderly group was lower than that in non - elderly group （ P 〈 0.05 ）. Role function and cognitive function scores of functional subscale in elderly group were higher （ P 〈 0.05 ）. Pain score of symptom subscale in elderly group was lower （ P 〈 0.05 ）. Other items as sleep disturbance were higher in elderly than in non - elderly group （ P 〈 0.05 ）. Overall health subscale score was higher in elderly group than in non - elderly group （ P 〈 0.05 ）. [ Conclusion] Postoperative quality of life in elderly patients with gastric carcinoma was generally higher than that in non - elderly patients, but physical function and sleep disturbance quality were lower in elderly patients. So targeted measures should be taken in the peri -operative period in this regard.
出处
《上海预防医学》
CAS
2013年第1期7-10,共4页
Shanghai Journal of Preventive Medicine
关键词
老年患者
胃癌
生存质量
Elderly patient
Gastric tumor
Quality of life
