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在手术后患有乳腺癌的患者中,研究淋巴胀阶段和相关症状之间的关系
Yun Li1,2, Yan Ma3, Shengqun Hou1,2
1Department of Nursing Administration, Fudan University Shanghai Cancer Center, Shanghai, China.
Gland surgery
|April 21, 2025
概括
与乳腺癌相关的淋巴 (BCRL) 症状随着疾病的发展阶段而恶化. 早期干预0和1期BCRL患者的早期干预对于控制症状和预防进展至关重要.
科学领域:
- 在瘤学瘤学.
- 医学科学 医学科学 医学科学
- 临床研究 临床研究
背景情况:
- 与乳腺癌相关的淋巴 (BCRL) 显著影响患者的生活质量.
- 了解BCRL进展和相关症状对于有效的临床管理至关重要.
研究的目的:
- 评估乳腺癌患者手术后淋巴的阶段.
- 分析不同阶段的淋巴相关症状的发生和严重程度.
- 为BCRL提供信息. 针对BCRL进行有针对性的临床干预.
主要方法:
- 对1021名术后乳腺癌患者的方便样本进行了调查.
- 用国际淋巴学会 (ISL) 标准对淋巴胀症的严重程度进行了分级.
- 使用乳腺癌和淋巴瘤症状经验指数 (BCLE-SEI) 评估了症状经验和痛苦.
主要成果:
- 72.86%的患者处于0阶段,11.36%处于1阶段,9.5%处于2阶段,1.7%处于3阶段.
- 在较高的淋巴瘤阶段 (P<0.001) 观察到症状数量,严重程度和痛苦的显著增加.
- 与早期阶段相比,第二阶段和第三阶段的患者报告了更严重的症状和更大的功能/情绪困扰.
结论:
- 在BCRL中,症状负担随着疾病阶段的升级而升级.
- 建议对0期和1期淋巴瘤进行早期诊断和干预.
- 积极的治疗可以缓解症状,并可能减缓淋巴的进展.
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