前列腺癌患者接受雄激素剥夺治疗的认知功能障碍的危险因素:一项回顾性研究
Yu'nan Che1, Xinyang Yu2, Peng Qiang1
1Department of Urology, Ma'anshan People's Hospital Ma'anshan 243000, Anhui, China.
American journal of translational research
|February 12, 2026
概括
前列腺癌的内分泌治疗改善了生活质量和尿路症状,但可能导致认知功能障碍. 使用蒙特利尔认知评估 (MoCA),年龄和心理评分的预测模型有助于识别有风险的患者.
科学领域:
- 在瘤学瘤学.
- 神经科学是一个神经科学.
- 老年病的医生 老年病的医生
背景情况:
- 前列腺癌的管理通常涉及内分泌疗法.
- 认知功能障碍是癌症治疗的潜在不良影响之一.
- 评估生活质量和认知功能对于患者护理至关重要.
研究的目的:
- 评估前列腺癌患者内分泌治疗的临床疗效.
- 确定与治疗诱导的认知功能障碍相关的风险因素.
- 开发一种认知障碍的预测模型.
主要方法:
- 对200名前列腺癌患者 (100名内分泌治疗接受者,100名对照者) 的回顾性研究.
- 评估生活质量,尿路症状和认知功能 (包括蒙特利尔认知评估 - MoCA).
- 单变量,多变量分析和预测模型开发.
主要成果:
- 内分泌疗法改善了生活质量和尿路症状 (P < 0.05).
- 认知障碍发生在38%的患者身上.
- 认知功能障碍的危险因素包括年龄较大,教育程度较低,MoCA较低,PSA,SAS,SDS得分较高.
- 摩卡,年龄,SAS和SDS是独立的预测因素 (AUC=0.903).
结论:
- 内分泌疗法对前列腺癌中的生活质量和尿道症状有好处.
- 认知功能障碍是与此疗法相关的一个重大问题.
- 整合MoCA,年龄和心理评分的预测模型可以识别患有认知障碍风险的患者,允许及时干预.
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