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运动对接受化疗的患者认知障碍的影响:多中心III期随机对照试验
Karen M Mustian1, Po-Ju Lin1, Alisha Chakrabarti1
11Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, NY.
Journal of the National Comprehensive Cancer Network : JNCCN
|March 13, 2026
概括
运动可能有助于减少癌症相关的认知障碍 (CRCI) 和接受化疗的患者的精神疲劳. 均衡的炎症反应与癌症治疗期间更好的认知功能有关.
科学领域:
- 在瘤学瘤学.
- 运动科学 运动科学
- 神经科学是一个神经科学.
背景情况:
- 与癌症相关的认知障碍 (CRCI) 在化疗期间影响高达75%的患者,并且经常与精神疲劳同时发生.
- 化疗可以通过破坏炎症反应来加剧CRCI和精神疲劳.
- 运动可能会促进自我调节的炎症反应,潜在地改善CRCI和精神疲劳.
研究的目的:
- 调查家庭运动干预 (EXCAP) 对化疗患者CRCI和精神疲劳的影响.
- 在这个患者群体中探索运动,CRCI和炎症反应之间的关系.
主要方法:
- 一个多中心III期随机对照试验,涉及癌症患者开始化疗.
- 参与者被随机分配到6周的EXCAP干预或常规护理.
- 评估了认知功能,精神疲劳和炎症标志物 (细胞因子).
主要成果:
- 与通常的护理组相比,EXCAP参与者,特别是那些接受了为期2周的化疗周期的参与者,报告认知障碍和精神疲劳明显减少.
- 所有EXCAP参与者都经历了精神疲劳的减少,无论化疗周期的长度如何.
- 抑制的炎症反应与化疗期间CRCI增加相关.
结论:
- 在接受化疗的患者中,EXCAP干预显示出缓解CRCI和精神疲劳的潜力,特别是在2周周期的患者中.
- 保持健康的炎症平衡,使用亲和抗炎细胞因子,与化疗期间减少认知障碍有关.
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