目的 评估结直肠癌患者围手术期的疲乏状况,分析影响其疲乏程度的相关因素.方法 采用围手术期疲乏(ICFS)量表对74例结直肠癌患者术前1d以及术后3d的疲乏状况进行评估,评估术后疲乏恢复情况.结果 74例患者术后疲乏量表得分高于术前[(82.23±2.344)vs.(62.16±2.504),P<0.001];其中疲乏度[(15.64±0.782)vs.(9.42±0.573),P<0.001]、精力[(23.05±0.774)vs.(15.05±0.759),P<0.001]与日常生活能力[(17.84±0.759)vs.(14.03±0.958),P=0.003]在术后的得分较术前提高,提示术后患者疲乏度增高而精力与生活能力下降,而患者活力并未下降,注意力也未受到明显影响.此外,Ⅲ、Ⅳ期患者术前得分高于Ⅰ、Ⅱ期患者[(68.79±3.806)vs.(58.13±3.181),P =0.038],但术后评估中并未发现此差异.结论 本研究结果显示术后在疲乏度、精力以及日常生活能力等方面较术前差,但活力、记忆力并无明显影响.此外,患者肿瘤TNM分期越高,疲乏程度越重.%Objective To assess the perioperative fatigue status of colorectal cancer patients and to analyze the related factors affecting their fatigue.Methods The fatigue status 1 days before operation and 3 days after operation and the postoperative fatigue recovery of 74 colorectal cancer patients were assessed by ICFS scale.Results The score of postoperative fatigue scale in 74 patients was higher than that before operation[(82.23±2.344)vs.(62.16±2.504),P<0.001].Among those indexes including in the scale,the scores of fatigue[(15.64±0.782)vs.(9.42±0.573),P<0.001],energy[(23.05±0.774)vs.(15.05±0.759),P<0.001]and daily living ability[(17.84±0.759)vs.(14.03±0.958),P=0.003]were higher than those before operation,which showed that the postoperative fatigue increased,that the energy and life ability decreased,that the vitality of the patients did not decrease,and that the attention was not affected.In addition,the preoperative scores of patients at stage III and IV are higher than patients at stage I and II[(68.79±3.806)vs.(58.13±3.181),P=0.038]but there was no difference in terms of postoperative evaluation.Conclusion The results of this study showed the postoperative fatigue,energy and daily life ability more poorly those before surgery,but the indications to vitality and memory were almost consistent.Besides,the higher the tumor TNM stage was,the more tired the patient was.
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