摘要
目的探讨不同胃切除方法对胃癌患者生活质量的影响。方法 60例胃癌患者随机分为对照组与观察组各30例,对照组行胃癌根治性切除术,观察组行胃癌扩大根治性切除术,比较两组手术前后生活质量及手术效果。结果 (1)根据Karnofsky生活质量评价标准,对照组手术前后Karnofsky生活质量评分分别为(74.72±8.59)分与(67.26±5.39)分,差异显著(P<0.05);观察组分别为(74.90±9.10)分与(73.37±8.25)分,差异不显著(P>0.05),两组术后生活质量评分比较,差异显著(P<0.05);(2)对照组平均住院时间、平均手术时间、平均术中及术后出血量、平均下地时间分别为(26.02±3.32)d、(108.22±11.35)min、(530.18±35.68)mL及(14.45±1.02)d,观察组分别为(17.50±1.99)d、(40.62±6.77)min、(126.07±32.18)mL及(44.05±6.39)d,两组上述指标分别比较,差异有统计学意义(P<0.05)。结论与根治性切除术相比,扩大根治性切除术有利于改善胃癌患者生活质量。
Objective To investigate the effects of different methods gastrectomy in gastric cancer patients ＂ quality of life. Methods 60 patients were randomly divided into control group and observation group, 30 cases each group, The control group underwent radical resection of gastric,observation group underwent radical resection of gastric expand. Quality of life were compared before and after surgery. Results （1）Quality of life according to Karnofsky evaluation criteria, the quality of life of control group before and after surgery was （74.72±8.59） points and （67.26±5.39） points （P〈0.05）; observation group was （74.90±9.10） points and （73.37±8.25） points （P〉0.05）, and postoperative quality of life score （P 〈0.05）; （2）The average length of stay, the average operation time, average intraoperative and postoperative bleeding, mean ambulation time of the control group was （26.02±3.32） d, （108.22±11.35） rain, （530.18 ±35.68） mL and （14.45±1.02） d, observation group were （17.50±1.99） d,（40.62±6.77） rain, （126.07±32.18） mL and （44.05±6.39）d （P 〈0.05）. Conclusion Compared with radical resection, extended radical resection can improve quality of life in patients with gastric cancer .
出处
《中国现代医生》
2014年第19期149-151,共3页
China Modern Doctor
