摘要
目的探讨急诊支气管动脉栓塞术治疗晚期肺癌大咯血的临床疗效及对患者生活质量的影响。方法根据治疗方式的不同将150例晚期肺癌大咯血患者分为对照组和观察组,每组75例,对照组患者采取常规内科对症治疗,观察组患者采取急诊支气管动脉栓塞术治疗,两组患者均予以急救干预。比较两组患者的临床疗效、生活质量[欧洲癌症研究与治疗组织生命质量测定量表(EORTC QLQ-C30)]、并发症发生率及满意度。结果观察组患者的总有效率高于对照组(P﹤0.05)。干预后,两组患者的躯体功能、情绪功能、社会功能、认知功能、角色功能评分均高于本组干预前,且观察组患者的上述评分均高于对照组,差异均有统计学意义(P﹤0.05)。观察组患者的并发症总发生率低于对照组,满意度高于对照组,差异均有统计学意义(P﹤0.05)。结论急诊支气管动脉栓塞术治疗晚期肺癌大咯血患者具有较好的临床疗效,可改善患者的生活质量,提高满意度,且并发症发生率较低。
Objective To investigate the clinical efficacy of emergency bronchial artery embolization in the treatment of advanced lung cancer with severe hemoptysis and the effect on quality of life of patients.Method A total of 150 advanced lung cancer patients with severe hemoptysis were divided into control group(n=75,treated with conventional symptomatic treatment)and observation group(n=75,treated with emergency bronchial artery embolization)according to different treatment methods,and both groups received emergency intervention.The clinical efficacy,quality of life[European Organization for Research and Treatment of Cancer quality of life questionnaire core 30(EORTC QLQ-C30)],incidence of complications and satisfaction were compared between the two groups.Result The overall response rate in the observation group was higher than that in the control group(P<0.05).After intervention,the scores of physical function,emotional function,social function,cognitive function and role function in both groups were higher than those before intervention,with higher scores in the observation group than those in the control group(P<0.05).The total incidence of complications in the observation group was lower than that in the control group,the satisfaction rate in the observation group was higher than that in the control group,and the differences were statistically significant(P<0.05).Conclusion The application of emergency bronchial artery embolization in advanced lung cancer with severe hemoptysis has significant clinical efficacy,can improve the quality of life and satisfaction of patients with less complications.
作者
杜丽霞
臧舒婷
任莹
李静
DU Lixia;ZANG Shuting;REN Ying;LI Jing(Department of Emergency Medicine,He’nan Provincial Key Medicine Laboratory of Nursing,He’nan Provincial People’s Hospital,Zhengzhou University People’s Hospital,Zhengzhou 450003,He’nan,China)
出处
《癌症进展》
2022年第23期2458-2461,共4页
Oncology Progress
关键词
肺癌大咯血
急诊支气管动脉栓塞
临床疗效
生活质量
lung cancer with severe hemoptysis
emergency bronchial artery embolization
clinical efficacy
quality of life
