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全胃癌患者采用不同照射技术放疗的效果分析

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目的 探究全胃癌患者采用不同照射技术放疗的效果.方法 选择全胃癌患者 80 例,依据照射技术的不同分为观察组(三维适形放疗技术)及对照组(简单调强技术),各 40 例.比较两组格拉斯哥昏迷评分法(GCS)评分、生存质量评分、临床疗效、不良反应发生情况等.结果 两组放疗前GCS评分比较无意义(P>0.05);放疗后,观察组GCS评分(13.10±1.86)分高于对照组的(11.15±1.91)分,差异有统计学意义(P<0.05).观察组社会关系、生理、环境、心理评分分别为(27.55±5.18)、(25.36±5.41)、(24.67±5.43)、(24.50±5.47)分,高于对照组的(18.20±4.26)、(17.25±4.11)、(17.28±4.14)、(17.26±4.91)分,差异有统计学意义(P<0.05).观察组总有效率为 95.00%,高于对照组的 70.00%,差异有统计学意义(P<0.05).观察组不良反应发生率为 2.50%,低于对照组的 22.50%,差异有统计学意义(P<0.05).结论 将三维适形放疗技术用于全胃癌患者的治疗,能明显改善患者疾病预后,提升生存质量,减少不良反应,提升对全胃癌的治疗效果,适合应用于临床推广.
Effect analysis of different irradiation techniques in patients with total gastric cancer
Objective To explore the effect of different irradiation techniques in patients with total gastric cancer.Methods 80 patients with total gastric cancer were selected and subdivided into an observation group(three-dimensional conformal radiotherapy)and a control group(simple intensity modulation technique)according to different irradiation techniques,each with 40 cases.The Glasgow coma scale(GCS)score,quality of life score,clinical efficacy,and occurrence of adverse reactions were compared between two groups.Results There was no significant difference in GCS scores between the two groups before radiotherapy(P>0.05).After radiotherapy,GCS score of(13.10±1.86)points in the observation group was higher than(11.15±1.91)points in the control group,and the difference was statistically significant(P<0.05).The scores of social relation,physiology,environment and psychology in the observation group were(27.55±5.18),(25.36±5.41),(24.67±5.43)and(24.50±5.47)points,which were higher than(18.20±4.26),(17.25±4.11),(17.28±4.14)and(17.26±4.91)points in the control group,and the difference was statistically significant(P<0.05).The total effective rate of 95.00%in the observation group was higher than 70.00%in the control group,and the difference was statistically significant(P<0.05).The incidence of adverse reactions of 2.50%in the observation group was lower than 22.50%in the control group,and the difference was statistically significant(P<0.05).Conclusion The application of three-dimensional conformal radiotherapy in the treatment of patients with total gastric cancer can significantly improve the prognosis of patients,improve the quality of life,reduce the occurrence of adverse reactions,and enhance the therapeutic effect of total gastric cancer,which is suitable for clinical promotion.

Total gastric cancerIrradiation techniquesEfficacy evaluationThree-dimensional conformal radiotherapy

邹勇斌

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423000 郴州市第一人民医院肿瘤内科三区

全胃癌 照射技术 放疗 三维适形放疗

2024

中国实用医药
中国康复医学会

中国实用医药

影响因子:0.797
ISSN:1673-7555
年,卷(期):2024.19(20)