Zakharían A G, Stoliarov V I, Kolosov A E
Khirurgiia (Mosk). 1994 Feb(2):11-2.
The authors analyse the dynamics of the working capacity of 146 patients with stomach carcinoma according to the type of operative treatment and the character of the work. The results of vocational rehabilitation were best after Billroth I subtotal resection; by the end of a 5-year follow-up period 81.8 +/- 8.2% of the patient who had survived worked (after Billroth II resection 57.8 +/- 7.4%, p < 0.05). After gastrectomy patients resumed work at more later periods. Lethality among parsons who resumed work was independent of the type of operation and was not higher than that among patients who did not work (8.2 +/- 2.3% and 62.6 +/- 2.5%, respectively; p < 0.001). Individuals of intellectual vocations returned earlier to their work after treatment (76.5 +/- 5.9% resumed work in the first 2 years, as compared to 42.1 +/- 5.1% of persons engaged in physical work; p < 0.001). The main tendency was to change to easier conditions of work, with the exception of highly qualified and highly specialized profession. Most of the patients (99 +/- 0.7%) resumed work in the first 4 years after the end of treatment.
作者根据手术治疗类型和工作性质分析了146例胃癌患者的工作能力动态变化。毕Ⅰ式胃次全切除术后职业康复效果最佳；在5年随访期结束时，存活患者中有81.8±8.2%恢复工作（毕Ⅱ式切除术后为57.8±7.4%，p<0.05）。胃切除术后患者恢复工作的时间较晚。恢复工作的患者死亡率与手术类型无关，且不高于未工作的患者（分别为8.2±2.3%和62.6±2.5%；p<0.001）。从事脑力职业的患者治疗后恢复工作的时间较早（76.5±5.9%在头两年恢复工作，而从事体力工作的患者为42.1±5.1%；p<0.001）。主要趋势是转向较轻松的工作条件，但高素质和高专业化职业除外。大多数患者（99±0.7%）在治疗结束后的头4年恢复工作。
