辐射引起的恶心和吐的发生率:一个前性的单一机构试点研究
Kayo Yoshida1, Takashi Hanada1, Junichi Fukada1
1Department of Radiology, Keio University School of Medicine, Tokyo, Japan.
The Keio journal of medicine
|February 25, 2024
概括
辐射诱导的恶心和吐 (RINV) 在放射治疗患者中很常见. 这项研究发现,在风险最小的患者,特别是乳腺癌患者中,恶心意外发生,这凸显了更好地预测风险的必要性.
科学领域:
- 在瘤学瘤学.
- 放射疗法是一种放射治疗.
- 临床研究 临床研究
背景情况:
- 辐射诱导的恶心和吐 (RINV) 是放射治疗中常见的一种不良事件.
- 目前,对RINV的研究代表性不足.
- 了解不同辐射部位的RINV发病率对于患者护理至关重要.
研究的目的:
- 根据照射地点调查RINV的发生率.
- 为了评估抗治疗RINV症状的疗效.
- 确定影响RINV风险的因素.
主要方法:
- 未来的,单一机构的试点研究.
- 招募了45名患者,分别在最小,低和中等发风险组.
- 在放射治疗期间使用每周的患者问卷评估RINV (≥20 Gy分5分).
主要成果:
- 恶心发生在11名患者中 (6名最小风险,1名低风险,4名中等风险);吐发生在0名患者中.
- 在最小风险组中观察到意外高的恶心发病率,主要是乳腺癌患者.
- 在11名有症状的患者中,有3人使用抗药,令人满意地控制了恶心.
结论:
- 在最小风险群体中,RINV发病率可能高于预期,特别是在乳腺癌患者中.
- 对于RINV的当前风险分层可能需要改进.
- 未来的研究应该探索超出照射部位的患者和治疗特性,以预测RINV风险.
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