摘要
目的:分析老年胃癌患者预后的相关因素。方法:对102例65岁以上胃癌患者的病历进行整理,统计患者的生存和死亡率,开展多因素回归分析及单因素分析,分析胃癌与预后因素之间有无意义。结果:随访的102例胃癌患者中,存活41例,死亡61例。按患者的年龄段划分,1年存活率是78.6%,3年存活率是43.5%,5年存活率是28.7%。单因素分析结果:与胃癌患者的预后相关因素为性别、年龄、并发症(P<0.05)、淋巴结转移,无明显影响的因素为吸烟、遗传(P>0.05);多因素分析结果显示:影响胃癌患者预后的独立危险因素是患者的年龄、饮酒、并发症、淋巴结转移、手术。结论:胃癌患者的年龄、合并症、饮酒史、淋巴结转移、根治性手术是影响老年胃癌预后的独立危险因素。
Objective:To analyze the related prognostic factors in elderly patients with gastric cancer. Methods:The medical records of 102 gastric cancer patients over 65 years old were collected, and the patient's survival and mortality rates were statistically analyzed. The multi-factor regression analysis and single factor analysis were used to analyze the significance among gastric cancer and the prognostic factors. Results:Among the 102 cases, 41 were alive and 61 were dead. Based on ages, the 1-year survival rate was 78. 6%, 3-year survival rate was 43. 5% and the 5-year survival rate was 28. 7%. The single factor analysis showed that the associ-ated prognostic factors of gastric cancer were gender, age, complications (P<0. 05), and lymph node metastasis; however, cigarette smoking and genetic factors had no obvious effects on prognosis (P>0. 05). The multiple factors analysis indicated that the independ-ent risk factors affecting prognosis of gastric cancer were age, alcohol consumption, complications, lymph node metastasis, and surger-y. Conclusions:Age, complications, history of drinking, lymph node metastasis, and radical surgery are the independent risk factors influencing the prognosis of elderly gastric cancer.
出处
《中国民康医学》
2015年第23期17-19,共3页
Medical Journal of Chinese People’s Health
关键词
胃癌
预后
因素
分析
Gastric cancer
Prognosis
Factors
Analysis
