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放射治疗缓解骨转移患者癌痛的影响因素分析

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目的 分析放射治疗(放疗)缓解骨转移患者癌痛的影响因素.方法 回顾性分析51例恶性肿瘤骨转移接受放疗患者的相关资料.其中,34例癌痛缓解(缓解组),17例癌痛未缓解(未缓解组).采用单因素和多因素logistic回归分析放疗缓解骨转移患者癌痛的影响因素.结果 与未缓解组比较,缓解组血清白蛋白水平较高,碱性磷酸酶水平较低,使用双膦酸盐药物患者比例较多(P<0.05).单因素logistic回归分析显示,性别、使用双膦酸盐药物、血清白蛋白和碱性磷酸酶水平均与放疗后癌痛缓解有关(P<0.05).多因素logistic回归分析显示,使用双膦酸盐药物是影响放疗缓解癌痛疗效的独立保护因素(P<0.05).结论 恶性肿瘤骨转移患者经放疗后疼痛能否得到缓解与多方面的因素相关;其中,放疗期间使用双膦酸盐药物是癌痛缓解的独立保护因素.
Analysis of factors influencing cancer pain relief by radiotherapy in cancer patients with bone metastasis
Objective To analyze the factors influencing cancer pain relief by radiotherapy in cancer patients with bone metastasis.Methods The relevant data of 51 cancer patients with bone metastasis were retrospectively analyzed,of whom 34 cases had a pain relieve by radiotherapy(group A)and 17 cases had no pain remission(group B).Univariate and multivariate logistic regression analysis was used to analyze the factors influencing the pain relieve by radiotherapy.Results Compared to group B,group A had higher serum albumin,lower alkaline phosphatase and more use of bisphosphonate(P<0.05).Univariate logistic regression analysis showed that gender,bisphosphonate use,serum albumin and alkaline phosphatase were associated with the pain relief after radiotherapy(P<0.05).Multivariate logistic regression analysis showed that bisphosphonate use was an independent protective factor for radiotherapy efficacy(P<0.05).Conclusion The pain relief of cancer patients with malignant bone metastases after radiotherapy is related to various factors,among which the use of bisphosphonates during radiotherapy is an independent protective factor for cancer pain relief.

Bone metastasisCancer painRadiation therapy

孙晨楠、周思妤、唐罗勇

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321015 浙江金华,温州医科大学附属金华医院放疗科

321015 浙江金华,温州医科大学附属金华医院血液科

骨转移 癌痛 放射治疗

2024

江苏医药
江苏省人民医院(南京医科大学第一附属医院)

江苏医药

影响因子:0.707
ISSN:0253-3685
年,卷(期):2024.50(12)