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目的探讨分析进展期胃中上部癌行腹腔镜后康复效果的影响因素。方法 90例进展期胃中上部癌行腹腔镜治疗患者为研究对象,随访观察6个月后,由肿瘤科专家团队对患者的康复状况进行评定,比较不同因素组患者康复效果评分之间的差异。结果家庭月收入<2000元、T4b分期、肿瘤直径≥5 cm、有淋巴结转移、有抑郁症状的患者康复状况评分(6.09±1.66)、(6.45±1.86)、(5.98±1.48)、(6.03±1.75)、(6.12±1.83)分高于家庭收入≥2000元、(T2、T3、T4a期)、肿瘤直径<5 cm、无淋巴结转移、无抑郁症状患者的(5.31±1.10)、(5.34±1.05)、(5.27±1.13)、(5.28±1.02)、(5.39±1.26)分,差异均有统计学意义(P<0.05)。其他因素组康复效果评分比较差异均无统计学意义(P>0.05)。结论家庭月收入<2000元、T4b分期、肿瘤直径≥5 cm、有淋巴结转移、有抑郁症状的患者较其他患者的康复效果差,针对这些高危因素的患者,应该鼓励家庭和社会给予充分的支持,争取相关政策减轻患者经济负担,适当予以心理护理调节负面情绪,加强辅助治疗与康复护理,提高康复效果、改善预后。
Objective To investigate the influencing factors of postoperative laparoscopic rehabilitation in patients with advanced upper gastric cancer. Methods Ninety patients with advanced upper gastric cancer undergoing laparoscopic surgery were enrolled in this study. After 6 months of follow-up, the team of oncologists evaluated the rehabilitation status of the patients and compared the difference between the rehabilitation effect scores of patients in different groups . Results The monthly family income was less than 2,000 yuan, the T4b staging, the tumor diameter ≥ 5 cm, the lymph node metastasis, the rehabilitation status scores of patients with depression (6.09 ± 1.66), (6.45 ± 1.86), (5.98 ± 1.48) and (6.03 ± 1.75), (6.12 ± 1.83) points higher than family income ≥2000 yuan (T2, T3, T4a), tumor diameter less than 5 cm, no lymph node metastasis, no depression symptoms (5.31 ± 1.10), (5.34 ± 1.05), (5.27 ± 1.13), (5.28 ± 1.02) and (5.39 ± 1.26) respectively. There were significant differences between the two groups (P <0.05). There was no significant difference in the scores of rehabilitation between other factors (P> 0.05). Conclusion Family monthly income <2000 yuan, T4b staging, tumor diameter ≥ 5 cm, lymph node metastasis, depressive symptoms of patients with poor recovery than other patients, for these high-risk patients, family and community should be encouraged to give full support , Fight for the relevant policies to reduce the financial burden on patients, appropriate psychological care to adjust negative emotions, and strengthen the auxiliary treatment and rehabilitation nursing, improve rehabilitation and improve prognosis.