摘要
目的研究极量肝切除术对肝癌患者生活质量的影响及影响因素分析。方法选择2015年1月~2018年1月海南医学院第一附属医院行肝切除术的肝癌患者100例作为研究对象,依据随机数字表法将其分为A组与B组,每组各50例。A组接受极量肝切除术,B组接受肝大部分切除术,比较两组患者术后生活质量与影响因素方面的情况。结果两组患者并发症发生率比较,差异无统计学意义(P>0.05);A组的住院天数长于B组,住院费用高于B组,差异有统计意义(P<0.05);A组患者的复发例数、死亡例数、体重指数、适应性评分、汉密尔顿焦虑量表评分、汉密尔顿抑郁量表评分、韦氏测试、适应能力测试以及SF-36测试数据均高于B组,差异均有统计学意义(均P<0.05)。结论极量肝切除术式可通过降低疾病复发率与提高患者康复效果来优化患者生活质量,但高额手术费用可成为影响患者生活质量的因素之一。
Objective To study the effect of extreme hepatectomy on quality of life in patients with liver cancer.Methods A total of 100 patients with liver cancer who underwent hepatectomy in the First Affiliated Hospital of Hainan Medical College in Hainan Province from January 2015 to January 2018 were selected as study objects,according to the random number table method,they were divided into group A and group B,with 50 cases in each group.Group A was given extreme liver resection,group B was given subtotal hepatectomy.Postoperative quality of life and influencing factors were compared between the two groups.Results There was no statistically significant difference in the incidence of complications between the two groups(P>0.05).The length of hospitalization in group A was longer than that in group B,and the hospitalization cost was higher than that in group B,the difference was statistically significant(P<0.05).The number of recurrence cases,number of death cases,body mass index,fitness score,Hamilton anxiety scale score,Hamilton depression scale score,Wechsler test,adaptability test and SF-36 test in group A were all higher than those in group B,with statistically significant differences(all P<0.05).Conclusion Extreme hepatectomy can optimize the quality of life of patients by reducing the recurrence rate and improving the rehabilitation effect of patients,but the high cost of surgery can become one of the factors affecting the quality of life of patients.
作者
王燕玲
李领
李文
符秋蓉
王丹心
WANG Yanling;LI Ling;LI Wen;FU Qiurong;WANG Danxin(Department of Oncology,the First Affiliated Hospital of Hainan Medical College,Hainan Province,Haikou570102,China)
出处
《中国医药导报》
CAS
2020年第4期184-188,共5页
China Medical Herald
基金
海南省卫生和计划生育委员会卫生计生行业科研项目（15A200075）
关键词
肝肿瘤
极量肝切除
生活质量
影响因素
Liver neoplasms
Extreme liver resection
Quality of life
Influencing factors
