摘要
目的:探讨直肠癌患者手术前后生存质量的变化.方法:采用GIQLI生存质量指标测定48例直肠癌手术患者术前及术后1,6,12 mo的生存质量值.结果:直肠癌患者手术前平均GIQLI指数 104.21分,术后1 mo平均GIQLI指数91.97分 (P<0.05),术后6 mo平均GIQLI指数105.65分 (P>0.05),术后12 mo平均GIQLI指数113.95分 (P<0.05).Dixon手术后1 mo平均GIQLI指数略低于Miles组(P>0.05),术后6,12 mo平均GIQLI 指数高于Miles组(107.30±10.57 vs 103.85 ±11.03.P<0.05;116.35±12.64 vs 111.34± 13.65.P<0.05).结论:直肠癌患者手术近期生存质量下降,与手术创伤和手术并发症有关,手术远期患者的生存质量明显提高,生存质量与手术方式有关.
AIM: To evaluate the changes of life quality of patients with rectal cancer before and after operation.
METHODS: The life qualities of 48 patients (Dixon: n = 25; Miles: n = 23) with rectal cancer were assessed using gastrointestinal quality of life index (GIQLI) before and 1, 6, 12 mo after operation.
RESULTS: The mean preoperative GIQLI score of all the patients was 104.21. The scores were 91.97 (P 〈 0.05), 105.65 (P 〉 0.05), and 113.95 (P 〈 0.05), respectively, 1, 6 and 12 mo after operation. The GIQLI score of Dixon's group was slightly lower than that of Miles' group I mo after operation (P 〉 0.05), but significantly higher than 6 and 12 months after operation (107.30 ± 10.57 vs 103.85 ± 11.03, P 〈 0.05; 116.35 ± 12.64 vs 111.34 ± 13.65, P 〈 0.05).
CONCLUSION: The life quality of patients with rectal cancer falls in the early period after operation due to the damage of operation and complication, but it is significantly improved in the long period, which is related to the operation style.
出处
《世界华人消化杂志》
CAS
北大核心
2006年第8期819-822,共4页
World Chinese Journal of Digestology