首页|晚期肺癌抗肿瘤治疗患者并发肌少症风险的临床研究

晚期肺癌抗肿瘤治疗患者并发肌少症风险的临床研究

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目的 分析晚期肺癌抗肿瘤治疗患者并发肌少症的影响因素,探讨合并肌少症对晚期肺癌抗肿瘤治疗患者的不利影响。方法 连续纳入2021年1-12月在成都某三甲医院肿瘤科住院接受抗肿瘤治疗的晚期肺癌患者。采用第12胸椎(T12)骨骼肌指数(SMI)标准评估晚期肺癌抗肿瘤治疗患者并发肌少症的患病情况。根据肌少症诊断标准将患者分为肌少症组和非肌少症组,采用多因素logistic回归分析晚期肺癌抗肿瘤治疗患者发生肌少症的影响因素。结果 本研究共纳入285例患者,其中有123例(43。15%)诊断为肌少症。多因素分析显示:性别(P<0。001)、病理分期(P=0。012)、肌酐(P=0。031)、BMI(P<0。001)是晚期肺癌抗肿瘤治疗患者并发肌少症的影响因素;肌少症组患者生活质量评分明显低于非肌少症组(P=0。035)。结论 晚期肺癌抗肿瘤治疗患者肌少症高发,与多种因素相关,且影响生活质量。
Clinical study on the risk of sarcopenia in patients with advanced lung cancer undergoing anti-tumor therapy
Objective To analyze the influencing factors of sarcopenia in patients with advanced lung cancer undergoing anti-tumor therapy,and to explore the adverse effects of sarcopenia on patients with ad-vanced lung cancer undergoing anti-tumor therapy.Methods Patients with advanced lung cancer who received anti-tumor therapy in the Department of Oncology of a tertiary hospital in Chengdu from January to December 2021 were continuously included.The incidence situation of sarcopenia in patients with advanced lung cancer undergoing anti-tumor therapy was evaluated by using the 12th thoracic spine (T12) skeletal muscle index (SMI) standard.According to the diagnostic criteria of sarcopenia,the patients were divided into the sarcope-nia group and the non-sarcopenia group.Multivariate logistic regression was used to analyze the influencing factors of sarcopenia in patients with advanced lung cancer undergoing anti-tumor therapy.Results A total of 285 patients were included in this study,of which 123 cases (43.15%) were diagnosed as sarcopenia.Multiva-riate analysis showed that gender (P<0.001),pathological stage (P=0.012),creatinine (P=0.031) and BMI (P<0.001) were the influencing factors of sarcopenia in patients with advanced lung cancer undergoing anti-tumor therapy.The quality of life score of patients in the sarcopenia group was significantly lower than that in the non-sarcopenia group (P=0.035).Conclusion The incidence of sarcopenia in patients with ad-vanced lung cancer undergoing anti-tumor therapy is high,which is related to many factors and affects the quality of life.

sarcopeniaadvanced lung cancerrelated factorsquality of life

罗小珍、谢灵灵、雷晓珍、杨黎黎、杨欣、廖燕

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成都上锦南府医院/四川大学华西医院上锦医院肿瘤一科,成都 611730

四川大学华西医院老年医学中心/四川大学华西护理学院,成都 610041

肌少症 晚期肺癌 相关因素 生活质量

四川省科技计划

2021JDKP0100

2024

重庆医学
重庆市卫生信息中心,重庆市医学会

重庆医学

CSTPCD
影响因子:1.797
ISSN:1671-8348
年,卷(期):2024.53(9)