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按摩操纵和骨质肉瘤的进展,它真的相关吗:前性和后性队列研究的组合研究
I Wayan Arya Mahendra Karda1, Wan Faisham Wan Ismail2, Achmad Fauzi Kamal3
1Department of Orthopaedics and Traumatology, Cipto Mangunkusumo Central General Hospital, Faculty of Medicine Universitas Indonesia, Pangeran Diponegoro Street Number 71, Central Jakarta, Jakarta, 10430, Indonesia.
传统的按摩疗法在印度尼西亚恶化了骨髓瘤的进展. 接受按摩的患者经历了更快的转移和瘤标志物的增加,导致生存率较差.
科学领域:
- 在瘤学瘤学.
- 整形外科 整形外科 整形外科
- 公共卫生 公共卫生
背景情况:
- 由于依赖传统按摩疗法,印度尼西亚的骨肉瘤进展变得复杂.
- 低社会经济地位和教育水平是普遍存在的挑战.
研究的目的:
- 为了比较之前按摩操纵治疗和没有按摩操纵治疗的骨髓瘤患者.
- 分析特征的差异,实验室发现,手术,亡和转移.
主要方法:
- 分析观察性研究与前性和后性队列设计.
- 分析了84名受试者,通过采访和医疗记录收集数据.
- 患者被跟踪了一年,以评估转移.
主要成果:
- 69%的受试者有按摩操纵的历史.
- 按摩组的LDH和ALP水平增加 (p=0.026).
- 按摩组中转移的中位时间显著缩短 (4个月与12个月,p<0.0001).
结论:
- 按摩治疗与LDH和ALP增加,截肢的可能性增加以及转移风险显著增加有关.
- 在接受之前按摩治疗的患者中,转移的发病速度是前者的三倍.
- 按摩操纵疗法强烈建议不要用于骨髓瘤患者.
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