远端进展期胃癌不同消化道重建方式对患者生活质量的影响

Effect of different digestive tract reconstruction methods on life quality of patients with advanced gastric cancer

  • 摘要: 目的 探讨不同消化道重建方式对远端进展期胃癌患者生活质量的影响。 方法 选取2011年7月- 2014年7月间兰州市第一人民医院肿瘤科92例远端进展期胃癌患者,分为3组,分别给予BillrothⅠ式(A组)、BillrothⅡ式(B组)、Roux-en-Y式(C组)消化道重建,观察重建前后生活质量改善情况。 结果 3组间血清总蛋白(64.24±8.76) g/L vs (62.54±9.76) g/L vs (68.65±11.43) g/L及前白蛋白(336.56±67.76) g/L vs (330.76±61.65) g/L vs (346.65±83.54) g/L比较,差异均具有统计学意义(P<0.05),但血红蛋白间差异无统计学意义(P>0.05)。消化道重建前,3组患者生活质量评分均无统计学差异(P>0.05),消化道重建后,A、B两组生活质量评分无统计学差异(P>0.05),C组总体健康评分高于A组和B组(84.95±13.27) vs (70.58±9.35) vs (72.15±10.32)(P<0.05)。 结论 3种消化道重建方式均有助于提高患者的生活质量,Roux-en-Y式重建方式对于提高患者生活质量效果更显著。

     

    Abstract: Objective To investigate the effect of different digestive tract reconstruction methods on life quality of patients with advanced gastric cancer. Methods Ninety-two patients with advanced gastric cancer in department of oncology, The First People's Hospital of Lanzhou were selected, and they were divided into A, B, C group. BillrothⅠ, BillrothⅡ and Roux-en-Y digestive tract reconstruction were performed. The life quality improvement before and after the reconstruction were compared. Results There were statistically significant differences in total serum protein (64.24±8.76) g/L vs (62.54±9.76) g/L vs (68.65±11.43) g/L and former albumin (336.56±67.76) g/L vs (330.76±61.65) g/L vs (346.65±83.54) g/L in three groups (P<0.05). However, there was no significant difference in hemoglobin (P>0.05). Before the reconstruction of the digestive tract, the life quality of patients in three groups had no significant difference (P>0.05). After the reconstruction of digestive tract, there was no difference in quality of life between group B and group A (P>0.05), while, the life quality of group C was higher than group A and group B (84.95±13.27) vs (70.58±9.35) vs (72.15±10.32) (P<0.05). Conclusion All three digestive tract reconstruction methods are helpful in improving the life quality of patients, among which Roux-en-Y reconstruction is more effective.

     

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