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胃癌辅助放化疗患者营养状态及放化疗不良反应分析 预览

Analysis of Nutritional Status and Adverse Reactions of Radiotherapy and Chemotherapy in Patients with Gastric Cancer Receiving Radiotherapy and Chemotherapy
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摘要 目的:分析进行辅助放化疗的胃癌患者的营养状态以及治疗过程中出现的不良反应。方法:回顾分析从2015-2017年于我院进行辅助放化疗的胃癌患者总共28例,使用PG-SGA评价系统评估患者的营养状态,同时观察并统计这些患者不良反应的发生情况以及营养状态与不良反应之间的联系。结果:28例患者之中,营养不良的患者总共24例,营养不良的发生率为85.71%;患者辅助放化疗过程中会出现的常见不良反应包括呕吐、恶心、食欲降低、骨髓抑制以及贫血,而且研究分析发现,患者不良反应的发生率与PG-SGA评分的高低成正比,P<0.05,证明营养状态会影响患者不良反应的发生。结论:进行辅助放化疗的胃癌患者其营养状态比较差,会发生以恶心、呕吐为代表的多种不良反应,而且患者的营养状态会显著影响不良反应的发生。 Objective:To analyze the nutritional status of gastric cancer patients undergoing adjuvant chemoradiotherapy and the adverse reactions during treatment.Methods:A total of 28 patients with gastric cancer who underwent adjuvant chemoradiotherapy in our hospital from 2015 to 2017 were retrospectively analyzed.The PG-SGA evaluation system was used to evaluate the nutritional status of patients.At the same time,the incidence of adverse reactions and nutritional status and malnutrition were observed and counted.The link between the reactions.Results:Of the 28 patients,24 were malnourished,and the incidence of malnutrition was 85.71%.Common adverse reactions during chemoradiotherapy include vomiting,nausea,loss of appetite,myelosuppression,and anemia.The study found that the incidence of adverse reactions in patients was proportional to the level of PG-SGA score,P<0.05,which proved that nutritional status will affect the occurrence of adverse reactions.Conclusion:Gastric cancer patients undergoing adjuvant chemoradiotherapy have poor nutritional status,and many adverse reactions such as nausea and vomiting may occur,and the nutritional status of patients may significantly affect the occurrence of adverse reactions.
作者 李敬白 蒲嘉泽 LI Jing-bai;PU Jia-ze(Nanjing Puquan Hospital,Nanjing Jiangsu 210031,China)
机构地区 南京市浦口医院
出处 《国际感染病学(电子版)》 CAS 2018年第3期70-71,共2页 Infection International(Electronic Edition)
关键词 胃癌 辅助放化疗 营养状态 不良反应 Gastric Cancer Adjuvant Chemoradiotherapy Nutritional Status Adverse Reactions
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