摘要
目的研究不同等级医院治疗对晚期胃肠恶性肿瘤临床疗效及生活质量的影响。方法回顾分析2017年6月-2018年12月在苍南县第三人民医院就诊的150例晚期胃肠恶性肿瘤患者临床资料,其中既往在三级医院就诊患者定义为观察组(n=77),在基层医院就诊患者定义为对照组(n=73)。比较两组患者治疗总有效率、生存期、生活质量水平、不良反应发生率以及治疗成本。结果观察组治疗总有效率为79.22%,与对照组的75.34%比较,差异无统计学意义(P>0.05);观察组结肠癌、胃癌患者生存时间、总生存时间、生活质量各维度评分、疲乏、恶心、疼痛、失眠、食欲丧失、腹泻各不良反应发生率与对照组比较,差异无统计学意义(P>0.05);观察组治疗成本高于对照组(P<0.05)。结论不同等级医院晚期胃肠恶性肿瘤疗效、生存期、生活质量以及不良反应发生情况相似,但是高等级医院治疗会一定程度增加医疗成本。
Objective To study the effect of different levels of hospital treatment on the clinical efficacy and quality of life of advanced gastrointestinal malignant tumors.Methods The clinical data of 150 patients with advanced gastrointestinal malignant tumors who were treated in the Third People’s Hospital of Cangnan County from June 2017 to December 2018 were retrospectively analyzed.Among them,patients who were previously treated in tertiary hospitals were defined as observation group(n=77),and patients who were treated in primary hospitals were defined as control group(n=73).The total effective rate,survival time,quality of life,incidence of adverse reactions and treatment cost were compared between the two groups.Results The total effective rate of treatment in the observation group was 79.22%,which was compared with 75.34%in the control group,the difference was not statistically significant(P>0.05).There was no significant difference in survival time,total survival time,the scores of quality of life,the incidence of adverse reactions such as fatigue,nausea,pain,insomnia,loss of appetite and diarrhea between the observation group and the control group(P>0.05).The treatment cost of the observation group was higher than that of the control group(P<0.05).Conclusion The curative effect,survival time,quality of life and adverse reactions of advanced gastrointestinal malignant tumors in different grade hospitals are similar,but the treatment in high grade hospitals will increase the medical cost to a certain extent.
作者
黄定蒙
HUANG Ding-meng(Department of General Surgery,the Third People's Hospital of Cangnan County/Jiangnan Branch of the Second Affiliated Hospital of Wenzhou Medical University,Wenzhou 325804,Zhejiang,China)
出处
《医学信息》
2023年第2期127-129,共3页
Journal of Medical Information
关键词
不同等级医院
晚期
胃肠恶性肿瘤
生活质量
Different grade hospital
Advanced stage
Gastrointestinal malignant tumor
Quality of life
