影响化学疗法诱导的恶心和吐的因素,在患有肺状细胞癌的患者
1Lung Cancer Center/Lung Cancer Institute, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University Chengdu 610000, Sichuan, China.
化学疗法诱导的恶心和吐 (CINV) 在肺状细胞癌患者的严重程度与肺功能,炎症,白蛋白和心脏病有关. 了解这些因素有助于个性化支持性护理,以提高生活质量.
科学领域:
- 在瘤学瘤学.
- 肺部病理学 肺部病理学
- 内部医学 内部医学
背景情况:
- 化疗诱导的恶心和吐 (CINV) 显著影响患者的生活质量.
- 确定CINV严重程度的预测因素对于肺状细胞癌 (LSCC) 患者的有效支持性护理至关重要.
研究的目的:
- 在被诊断为LSCC的患者中调查与CINV严重程度相关的因素.
- 建立个性化支持性护理策略的基础.
主要方法:
- 对接受化疗的301名LSCC患者的回顾性分析.
- 使用恶心,吐和复发指数评估CINV严重程度.
- 评估肺功能 (FEV1,PaO2,PaCO2),炎症标志物 (CRP,IL-6,TNF-α),血清白蛋白和并发症.
主要成果:
- 冠心病史与CINV严重程度增加相关 (P=0.010).
- 一秒内强制呼吸量 (FEV1) 和氧气部分压力 (PaO2) 的增加与CINV严重程度的降低有关 (P=0.053,P=0.002).
- 升高的互白素-6 (IL-6) 显示出保护作用 (P<0.001),而较高的白蛋白和二氧化碳 (PaCO2) 部分压力与严重程度的增加有关 (P=0.048,P=0.017).
结论:
- 在LSCC患者中,CINV的严重程度是多因素的,受肺功能,炎症标志物,白蛋白水平和心血管并发症的影响.
- 肺功能参数 (FEV1,PaO2,PaCO2) 在CINV严重程度方面发挥着重要作用.
- 研究结果支持开发个性化的支持性护理干预措施,以改善化疗期间患者的治疗结果和生活质量.
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