在接受新辅助化疗的乳腺癌患者中,血液毒性,肉和身体成分变化
Min Kyeong Jang1, Seho Park2, Chang Park3
1Mo-Im Kim Nursing Research Institute, Yonsei University College of Nursing, 50-1 Yonsei-ro, Seodaemun-gu, 03722, Seoul, Republic of Korea. espoir8571mk@gmail.com.
概括
乳腺癌患者与sarcopenia经历化学疗法后更高的贫血率. 身体组成的变化,包括肌肉和脂肪的减少,与贫血有关,影响治疗结果.
科学领域:
- 在瘤学瘤学.
- 放射学 放射学是一门学科.
- 营养 营养 营养 营养 营养
背景情况:
- 身体成分和肉是癌症患者健康的关键因素.
- 化疗可以显著影响人体组成,并导致毒性.
- 了解这些关系对于改善患者护理至关重要.
研究的目的:
- 评估血液毒性,肉症和身体组成变化之间的关联.
- 研究乳腺癌患者化学疗法相关不良事件的身体成分的预测价值.
主要方法:
- 对298名接受新辅助化疗的乳腺癌患者进行了回顾性队列研究.
- 腹部CT扫描分析了化疗前和后的身体组成变化.
- 使用CTCAE v5.0.0.进行评估的血液毒性 (贫血,中性质衰竭,血小板衰竭).
主要成果:
- 萨科佩尼亚与化疗后贫血的两倍患病率有关 (p < 0.001).
- 贫血与骨肌肉指数 (SMI) 和皮下脂肪指数 (SFI) 的下降相关 (p = .0013,p = .0008).
- AC-T (每周) 疗法与较高的中性质衰竭率有关,特别是在肉类衰竭组.
结论:
- 肉症和身体组成的变化与乳腺癌患者的贫血风险增加有关.
- 化疗后SMI和SFI降低表明与贫血的关系.
- 综合评估人体成分,肉症和化疗方案可以提高临床结果.
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