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題名 | Impact of Nutritional Status on the Survival of Lung Cancer Patients=肺癌病人營養狀況對存活期的影響 |
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作者 | 賴信良; 彭瑞鵬; | 書刊名 | 中華醫學雜誌 |
卷期 | 61:3 民87.03 |
頁次 | 頁134-140 |
分類號 | 415.468 |
關鍵詞 | 肺癌; 營養狀況; 活動能力; 預後指標; 存活期; Lung cancer; Nutritional status; Performance status; Prognostic factor; Survival; |
語文 | 英文(English) |
中文摘要 | 背景:已知能影響肺癌病患存活期的預後因子有:體重減輕、疾病程度、活動能力及性別等。其中活動能力的評估屬於主觀的判斷,且只是粗略的估計。吾人考慮以營養狀況的評估來反映病患的活動能力,並探討肺癌病患營養指數異常的好發率,及其對病患存活期的影響。 方法:本研究對150位初次被診斷為肺癌且未曾治療的病患,進行人體計量及生化數值評估,包括標準身高體重比值、標準三頭肌皮層厚度百分比、標準手臂肌肉圍百分比、血清白蛋白、運鐵蛋白、肌氨酸肝高度指數、及淋巴球總數。每位病患同時收集臨床資料,並追蹤存活期。 結果:一半以上(59%)的病患至少有一項以上營養狀況指數的異常。病患活動能力較差者(小於70分)其營養狀況指數亦較差。存活期少於六個月的患者,其所有營養狀況指數均低於存活期超過六個月的患者(p<0.05)。進一步比較異常營養狀況存在下,對病患存活期的影響,發現病患具異常營養指數越多,其存活期越短。 結論:以人體計量及生化數值為營養狀況指數,可反映病患的活動能力,並據此作為肺癌病患存活期的預測指標,並可用為是否建議病患接受積極治療的參考。 |
英文摘要 | BACKGROUND: Weight loss, disease extent, performance status and sex have emerged as prognostic factors for lung cancer. The assessment of performance status is rather subjective and crude. Parameters of nutritional status were used in this study to represent the performance status of patients. The prevalence of protein-calorie malnutrition in lung cancer patients and the impact of this on patient survival were also investigated. METHODS: Nutritional status was assessed in 150 newly diagnosed lung cancer patients. Anthropometric and biochemical parameters measured were: weight/height ratio, percent of standard triceps skin-fold thickness, percent of standard arm muscle circumference, serum albumin, transferrin, creatinine height index and total lymphocyte count. Performance status and survival time were estimated for all patients. RESULTS: The prevalence of abnormality in each nutritional parameter ranged from 15 to 31%. Most of the patients (59%) had at least one abnormal nutritional parameter. A low profile of performance status was associated with lower nutritional parameters such as triceps skin-fold thickness, percent of standard arm muscle circumference, serum albumin and creatinine height index. Patients who died within six months after diagnosis had significantly lower values of all nutritional parameters than those who survived more than six months. Patients with more abnormal parameters tended to have poorer survival rates. CONCLUSIONS: Both anthropometric and biochemical nutritional parameters might be reliable indicators for the assessment of performance status and survival for patients with lung cancer. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。