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[接受手术治疗或术前化疗后手术的非小细胞肺癌患者的生活质量评估]

[Quality of life assessment in patients with non-small cell lung cancer treated surgically or with pre-operative chemotherapy followed by surgery].

作者信息

Wachowicz Małgorzata, Furmanik Franciszek

机构信息

Zakład Pielegniarstwa Chirurgicznego AM w Lublinie.

出版信息

Pneumonol Alergol Pol. 2003;71(3-4):121-31.

Abstract

The aim of the study was assessment of quality of life (QL) in patients with non-small cell lung cancer treated surgically or treated with both: neoadjuvant chemotherapy and surgery. We evaluated 200 NSCLC patients in I-IIIa stages. They were divided into 2 groups. Group 1-136 surgical only patients, group 2-64 patients treated with pre-operative chemotherapy, followed by surgery. Some of the patients from both groups required postoperative chemotherapy or radiotherapy. We used QLQ-C30 and QLQ-LC13 questionnaires both made and used with permission of EORTC. Measurements were taken while patients were qualified for treatment, 10-15 days after surgery and 4 and 12 months after treatment. Additional measurements were taken after pre-operative chemotherapy in group 2. Global QL (noted during qualification for treatment) decreased significantly in early postoperative period, regardless the range of resection in both groups. There were also significant decrease in functioning, increase in disease symptoms and financial difficulties after operation. In course of time all parameters of QL were stabilised and after the year they were higher than before treatment. Pre-operative chemotherapy and post-operative radiotherapy had no significant influence on QL. This was observed among the patients treated with post-operative chemotherapy. The assessment of QL seems to be a more effective method of treatment evaluation, because it allows seeing the patient as a part of the society in which he is living.

摘要

本研究的目的是评估接受手术治疗或接受新辅助化疗加手术治疗的非小细胞肺癌患者的生活质量(QL)。我们评估了200例I-IIIa期的非小细胞肺癌患者。他们被分为两组。第1组为136例仅接受手术的患者,第2组为64例接受术前化疗后再进行手术的患者。两组中的一些患者术后需要化疗或放疗。我们使用了经欧洲癌症研究与治疗组织(EORTC)许可制作和使用的QLQ-C30和QLQ-LC13问卷。在患者符合治疗条件时、手术后10-15天以及治疗后4个月和12个月进行测量。第2组在术前化疗后还进行了额外测量。无论两组的切除范围如何,术后早期总体QL(在符合治疗条件时记录)均显著下降。术后功能也有显著下降,疾病症状增加,经济困难增加。随着时间的推移,生活质量的所有参数都趋于稳定,一年后高于治疗前。术前化疗和术后放疗对生活质量没有显著影响。在接受术后化疗的患者中观察到了这一点。生活质量评估似乎是一种更有效的治疗评估方法,因为它能将患者视为其生活所在社会的一部分。

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