影响左侧乳腺癌患者喘息表现的临床因素
Kaelyn Becker1, Kelly Kisling1, Laura Padilla1
1Department of Radiation Medicine & Applied Sciences, UC San Diego Health, La Jolla, California, USA.
疼痛和焦虑会对乳腺癌放射治疗中的深呼吸呼吸 (DIBH) 性能产生负面影响. 通过干预措施解决这些因素可以改善治疗的一致性和患者的结果.
科学领域:
- 在瘤学瘤学.
- 辐射疗法 辐射疗法
- 医学物理 医学物理
背景情况:
- 深呼吸呼吸 (DIBH) 对于在左侧乳腺癌放射治疗中降低心脏毒性至关重要.
- 患者参与对于DIBH成功至关重要.
研究的目的:
- 调查影响DIBH放射治疗中喘息表现的临床因素.
- 为了确定影响DIBH准确性和可重现性的患者特征.
主要方法:
- 对72名患者的表面导向放射治疗 (SGRT) 数据的回顾性分析.
- 评估呼吸暂停的准确性,可重复性和容忍度内的百分比 (%WT).
- 基于年龄,英语水平,疼痛和焦虑的不同患者组的DIBH性能指标的比较.
主要成果:
- 保持呼吸的准确性在各组之间没有显著差异.
- 疼痛显著损害了喘息的可复制性 (p=0.0003).
- 焦虑 (p=0.03) 和疼痛 (p=0.02) 与较低的%WT有关,这表明一致性降低.
结论:
- 疼痛和焦虑显著影响DIBH性能,影响可重现性和一致性.
- 针对疼痛和焦虑管理的有针对性的干预措施可以提高DIBH的结果.
- DIBH在各种患者人口统计学方面是有效的,包括不同的年龄和语言能力.
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