肺癌国际生存质量量表体能状态评定指标及中医症状量表的关系_游捷.pdfVIP

2005 7 25 7 CJIT WM, July 2005, Vol. 25, No. 7 595 游 捷 施志明 从临床观察角度探讨国际生存质量量表与体能状态评估及中医 状量表之间的相互关 系 采用欧洲癌 研究与治疗组织肺癌生存质量量表(EORTC Q Q C43) 和癌 治疗功能评价量 表( FACT ) 两种国际生存质量量表测定363 例肺癌患者生存质量, 同时记录其卡氏( KPS) 评分与体能状态 (ECOG ) 及肺癌中医 状量表( CS T CM) 计分, 并作相关性及一致性分析 EORTC Q Q C43 和FACT 计分与KPS 评分ECOG 及中医 状量表计分存在相关, 但相关系数较小; 各指标之间存在 一致 性中医 状量表与KPS 评分ECOG 之间不存在 一致性 生存质量测评应采用生存质量量表, 而 不能以体能状态指标代替, 但体能状态指标可作为生存质量的简易预测指标中医 状量表与生存质量量 表及体能状态指标之间有一定相关性 生存质量量表;体能状态指标; 中医 状量表; 非小细胞肺癌 Study on the Relationship among the International Scales for Quality of Life Evaluation inPatients with Lung Cancer, the East Cooperative Oncology Group Status and Lung Cancer Symptoms Lists of CM YOU Jie, and SHI Zhiming The Third Dep artment of Oncology , Longhua Hosp ital, Shanghai University of Traditional Chinese Medicine, Shanghai (2 32) Abstract Objective To investigate the relationship among international scales for quality of life ( QO ) , physical performance assessment and ung Cancer Symptoms ists of Traditional Chinese Medicine ( CS ) from the viewpoint of clinical observation. Methods QO of 363 patients with lung cancer was estimated with two international scales, the European Organization for Research and Treatment of Cancer QO Questionnaire C43 (EORT C Q Q C43) and the Functional Assessment of Cancer T herapy General and ung ( FACT ) . In the same time, scores calculated by Karnofsky Performance Status ( KPS) , East Cooperative Oncology Group Status (ECOG) and CS were recorded. Correlation and consistency among them were analyzed. Results E ORT C Q QC43, FACT were correlated with KPS, ECOG and CS , but the correlation coefficient was small. All these indexes were consistent. Conclusion QO should be assessed by QO questionnaire, not by physical performance indexes, although they can be the simply f