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局限期小细胞肺癌化疗疗效及临床预后因素分析

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目的 研究局限期小细胞肺癌患者化疗治疗的效果及临床预后的相关因素.方法 选取90例局限期小细胞肺癌患者作为观察对象.所有患者均接受化学药物治疗,统计临床疗效、生存时间以及治疗后18个月的生存率.对患者的病历资料展开回顾性分析,总结影响临床预后的相关因素.结果 治疗临床总有效率为65.56%,患者于治疗过程中骨髓抑制发生率、胃肠道反应发生率分别为24.44%、57.78%.随访结束,6个月生存率为66.67%,12个月生存率为33.33%,18个月生存率为17.78%.单因素分析发现,临床预后与患者年龄、功能状态(PS)评分、吸烟习惯、体重下降幅度、治疗前血小板计数有关(P<0.05),多元回归分析发现,吸烟、PS评分为影响患者预后的主要因素.结论 局限期小细胞肺癌患者接受化学药物治疗可获得理想的临床疗效,而患者的临床预后与体重、吸烟、PS评分以及治疗前血小板计数等因素有密切关联.
Analysis of Chemotherapy Efficacy and Clinical Prognostic Factors for Limited Stage Small Cell Lung Cancer
Objective To study the clinical efficacy and prognostic factors of chemotherapy therapy in patients with lim-ited stage small cell lung cancer.Methods 90 patients with limited stage small cell lung cancer were selected as the observation subjects.All patients were treated with chemotherapy,and the clinical efficacy,survival time,and 18-month survival rate after treatment were statistically analyzed.Retrospective analysis was conducted on the patient's medical records to summarize the rele-vant factors affecting clinical prognosis.Results The total clinical effective rate was 65.56%,6-month survival rate was 66.67%,12-month survival rate was 33.33%,and 18-month survival rate was 17.78%;The incidence of bone marrow suppres-sion and gastrointestinal reactions during treatment was 24.44%and 57.78%,respectively.Single factor analysis showed that clinical prognosis was related with functional state(PS)score,smoking habits,weight loss and platelet count before treatment;Multiple regression analysis found that smoking and PS score were the main factors affecting prognosis.Conclusion Patients with limited stage small cell lung cancer receiving chemotherapy can achieve ideal clinical efficacy,and the clinical prognosis of pa-tients is closely related to factors such as weight,smoking,PS score,and pre treatment platelet count.

Limitation periodSmall cell lung cancerChemotherapyClinical efficacyClinical prognosisFactor analysis

鹿敏、潘春香、胡祥坤、孙如坤、王艳杰

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466000 河南省周口市中心医院

局限期 小细胞肺癌 化疗 临床疗效 临床预后 因素分析

2024

实用癌症杂志
江西省肿瘤医院 江西省肿瘤研究所

实用癌症杂志

影响因子:1.241
ISSN:1001-5930
年,卷(期):2024.39(5)
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