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自体外周血造血干细胞支持下高剂量化疗对晚期乳腺癌患者的生活质量研究[J]. 肿瘤防治研究, 2015, 42(02): 145-149. DOI: 10.3971/j.issn.1000-8578.2015.02.010
引用本文: 自体外周血造血干细胞支持下高剂量化疗对晚期乳腺癌患者的生活质量研究[J]. 肿瘤防治研究, 2015, 42(02): 145-149. DOI: 10.3971/j.issn.1000-8578.2015.02.010
Effects of High-dose Chemotherapy Supported by Autologous Peripheral Blood Stem Cell on Quality of Life of Advanced Breast Cancer Patients[J]. Cancer Research on Prevention and Treatment, 2015, 42(02): 145-149. DOI: 10.3971/j.issn.1000-8578.2015.02.010
Citation: Effects of High-dose Chemotherapy Supported by Autologous Peripheral Blood Stem Cell on Quality of Life of Advanced Breast Cancer Patients[J]. Cancer Research on Prevention and Treatment, 2015, 42(02): 145-149. DOI: 10.3971/j.issn.1000-8578.2015.02.010

自体外周血造血干细胞支持下高剂量化疗对晚期乳腺癌患者的生活质量研究

Effects of High-dose Chemotherapy Supported by Autologous Peripheral Blood Stem Cell on Quality of Life of Advanced Breast Cancer Patients

  • 摘要: 目的 分析自体外周血造血干细胞支持下高剂量化疗对于晚期乳腺癌化疗前后生活质量影响,为选择有效改善患者生活质量的干预措施提供依据。 方法 回顾性分析25例病例组行自体外周血造血干细胞支持下高剂量化疗的晚期乳腺癌患者临床资料,同期选取接受常规方案化疗的22例晚期乳腺癌患者为对照组。采用简明 健 康 状 况 调 查 量 表SF-36(MOS36-item short forum healthsurvey)的缩减版本SF-12量表作为问卷调查表。在第1个时间点(T1)为治疗前,第2个时间点(T2)为第2周期高剂量化疗前和第4周期常规治疗前,第3个时间点(T3)为高剂量化疗结束3月随访时和常规剂量化疗结束后3月进行调查随访。采用t检验进行统计分析。结果 高剂量化疗组和常规剂量组患者生活质量8个维度评分T2较T1均显著下降(P<0.05),T3较T1两组患者活力和社会功能维度仍显著下降(P<0.05),其他维度差异无统计学意义。T2时间点高剂量化疗组较常规剂量化疗组总体健康、生理功能、活力和社会功能维度显著下降(P<0.05),T1和T3时间点高剂量化疗组和常规剂量组差异无统计学意义。结论 自体外周血造血干细胞支持下高剂量化疗导致乳腺癌患者总体健康、生理功能、活力和社会功能显著下降,但患者高剂量化疗缩短了治疗时间,使患者可更快的恢复正常生活。

     

    Abstract: Objective To analyze the quality of life (QOL) of advanced breast cancer patients after receiving high-dose chemotherapy supported by autologous peripheral blood stem cells, and to provide evidence for selecting the effective intervening measure to improve QOL of patients. Methods We retrospectively analyzed 25 advanced breast cancer patients who were treated with high-dose chemotherapy supported by autologous peripheral blood stem cells and 22 patients who received conventional-dose therapy as the control group. SF-12, the revised version of health survey scale SF-36 (MOS36-item short forum health survey) was used at three time points, T1(before the treatment), T2(before the 2nd cycle of high-dose chemotherapy and the 4th cycle of conventional-dose chemotherapy ) and T3(3 months after the treatment). T test was used for statistical analysis. Results At T2 point, 8 variables of QOL of patients treated with high-dose and conventional-dose chemotherapy were significantly decreased compared with those at T1 point. At T3 point, the vitality and social function were still significantly decreased compared with those at T1 point (P<0.05). Other variables had no significant difference. At T2 point, the general health, physical function, vitality and social function in the high-dose chemotherapy group were decreased significantly compared with those in the conventional-dose chemotherapy group (P<0.05). No significant difference was observed between the two groups at T1 or T3 points. Conclusion High-dose chemotherapy supported by autologous peripheral blood stem cells led to significant reduction of QOL of advanced breast cancer patients, especially the general health, physical function, vitality and social function. However, high-dose chemotherapy could shorten the treatment time and the patients could resume their normal lives faster.

     

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