首页|姑息治疗对缓解肺癌患者疼痛、提高患者生活质量的临床价值

姑息治疗对缓解肺癌患者疼痛、提高患者生活质量的临床价值

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目的:研究探讨采取姑息治疗方式进行肺癌疾病治疗,对于改善患者生活质量、缓解疼痛的价值和作用.方法:本次研究的起止时间为2020年4月-2023年4月,在研究期间选取我院43例肺癌患者对其进行随机分组,共分为2组,即为实施常规处理的对照组(21例)和实施姑息治疗的观察组(22例).基于不同的治疗方式,展开对比两组患者的心理状况、生活质量、营养状况以及疲乏和疼痛程度.结果:研究分析了经治疗的观察组营养状况,与对照组相比缓解率均较高,P<0.05.NRS评估治疗2周和4周的疼痛程度,观察组与对照组疼痛缓解率有明显差异(P<0.05).SAS、SDS评分结果显示,对照组评分明显较高,且SCL90评分也较观察组高,P<0.05.两组患者在疲乏程度对比上,观察组得分低于对照组,P<0.05.研究对患者的生活质量分析中,两组的对比结果均不具有一致性(P<0.05).结论:研究证实,姑息治疗的使用对肺癌患者而言,减轻了疾病带来的疼痛,改善了患者的生活质量,同时改善患者的疲乏程度和营养不良状况,缓解焦虑、抑郁的不良情绪,使患者处于良好的身心状态.在肺癌患者治疗中体现出较高的应用价值,值得临床推广.
Objective:To explore the value and role of palliative treatment for lung cancer disease in improving patients'quality of life and relieving pain.Methods:The starting and end time of this study was April 2020——April 2023.During the study period,43 lung cancer patients in our hospital were selected for randomization and divided into two groups,namely,the control group receiving conventional treatment(21 cases)and the observation group receiving palliative treatment(22 cases).Based on different treatment methods,the psychological status,quality of life,nutritional status,fatigue and pain level of the two groups were compared.Results:The nutritional status of the treated observation group was high compared with the control group,P<0.05.The NRS assessed the extent of pain for 2 and 4 weeks of treatment,with significant differences in pain relief rates between the observed and control groups(P<0.05).The SAS and SDS scores showed that the control group had significantly higher scores,and the SCL 90 score was also higher than the observed group,P<0.05.In terms of fatigue comparison,the observation group scored lower than the control group,P<0.05.In the analysis of patients,the two groups were inconsistent(P<0.05).Conclusion:Studies have confirmed that the use of palliative care reduces the pain of lung cancer patients,improves the disease and the quality of life of the patients,improves the fatigue degree and malnutrition of the patients,alleviates the bad mood of anxiety and depression,and makes the patients in a good physical and mental state.It has a high application value in the treatment of lung cancer patients and is worthy of clinical promotion.

Palliative carelung cancerpain reliefquality of lifeclinical value

薛协持、麦丽青

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鹤山市人民医院肿瘤 广东鹤山 529700

姑息治疗 肺癌 缓解疼痛 生活质量 临床价值

江门市卫生健康局科学技术研究项目

20A181

2023

黑龙江中医药
黑龙江省中医研究院

黑龙江中医药

影响因子:0.425
ISSN:1000-9906
年,卷(期):2023.52(4)
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