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乳腺癌患者化疗期间的脂质紊乱

Lipid Disturbances in Breast Cancer Patients during Chemotherapy.

作者信息

Alimperti Aikaterini, Alikari Victoria, Tsironi Maria, Rojas Gil Andrea Paola, Papageorgiou Dimitrios, Kolovos Petros, Panagiotou Aspasia, Panoutsopoulos George I, Lavdaniti Maria, Zyga Sofia

机构信息

Department of Nursing, University of Peloponnese, 22131 Tripolis, Greece.

Department of Nursing, University of West Attica, 12243 Egaleo, Greece.

出版信息

Nurs Rep. 2023 Oct 25;13(4):1500-1510. doi: 10.3390/nursrep13040126.

Abstract

UNLABELLED

Breast cancer is the most common cancer in women. Cardiovascular diseases are common complications after chemotherapy due to the effect of the drug on lipid levels. This study aimed to explore the changes in lipid profiles in patients with breast cancer under chemotherapy.

METHODS

In this prospective study, 50 patients with breast cancer participated. Three biochemical-lipid hematological tests were performed: total cholesterol (TC), triglycerides (TGs), High-Density Lipoprotein (HDL-C), and Low-Density Lipoprotein (LDL-C) before initiation (pre-chemotherapy), at the start (first follow-up), and at the completion (second follow-up) of the first cycle of chemotherapy. Statistical significance was set at < 0.05. Analyses were conducted using SPSS Statistical Software (version 22.0).

RESULTS

Mean TC values increased significantly at second follow-up. TGs values decreased significantly from first to second follow-up. HDL-C was significantly lower at first follow-up compared with pre-chemotherapy and was similar to the pre-chemotherapy levels at second follow-up. LDL-C values were significantly higher at second follow-up compared with pre-chemotherapy measurement. Significantly positive correlations of BMI with pre-chemotherapy LDL-C, first follow-up TC, first follow-up LDL-C, second follow-up TC, and second follow-up LDL-C were found.

CONCLUSIONS

There is a statistically significant increase in the levels of TC and LDL-C in breast cancer patients during chemotherapy. This study was not registered.

摘要

未标注

乳腺癌是女性中最常见的癌症。由于药物对血脂水平的影响,心血管疾病是化疗后常见的并发症。本研究旨在探讨接受化疗的乳腺癌患者血脂谱的变化。

方法

在这项前瞻性研究中,50例乳腺癌患者参与。在化疗第一周期开始前(化疗前)、开始时(首次随访)和结束时(第二次随访)进行了三项生化血脂血液学检测:总胆固醇(TC)、甘油三酯(TGs)、高密度脂蛋白(HDL-C)和低密度脂蛋白(LDL-C)。统计学显著性设定为<0.05。使用SPSS统计软件(版本22.0)进行分析。

结果

第二次随访时平均TC值显著升高。TGs值从第一次随访到第二次随访显著降低。与化疗前相比,首次随访时HDL-C显著降低,第二次随访时与化疗前水平相似。与化疗前测量相比,第二次随访时LDL-C值显著升高。发现BMI与化疗前LDL-C、首次随访TC、首次随访LDL-C、第二次随访TC和第二次随访LDL-C之间存在显著正相关。

结论

化疗期间乳腺癌患者的TC和LDL-C水平有统计学显著升高。本研究未注册。

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Lipid metabolism in cancer progression and therapeutic strategies.癌症进展中的脂质代谢与治疗策略
MedComm (2020). 2020 Dec 24;2(1):27-59. doi: 10.1002/mco2.27. eCollection 2021 Mar.
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Influence of cholesterol on cancer progression and therapy.胆固醇对癌症进展和治疗的影响。
Transl Oncol. 2021 Jun;14(6):101043. doi: 10.1016/j.tranon.2021.101043. Epub 2021 Mar 20.

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