消化系统癌症患者的生存分析

目的分析消化系统癌症患者的生存状况,探讨各种因素对患者生存时间的影响,为消化系统癌症的防治和康复,延长患者生存期和提高其生存率提供有力的依据。方法对2007—2009年收治的278例消化系统癌症晚期患者进行回顾性分析及随访调查,计算其中位生存期、生存率以及与各种因素的相互关系等。结果全部因所患肿瘤死亡病例的中位生存期为11个月,平均生存期为20.4个月。1年累计生存率为(0.478±0.031),5年累计生存率为(0.079±0.018)。不同性别,不同年龄,手术情况和疼痛出现的时间等因素对生存期的影响有统计学意义。结论早发现、早确诊,有效的手术治疗和积极的综合干预是延长消化系统癌症患者生存时间的最主要手段。

The survival analysis of patients with digestive cancer

Objective To analyze survival condition of patients with digestive cancer and explore the influence of various factors to patients’ survival time.The results will provide powerful evidence to prevent and recover from digestive cancer,prolong survival time and improve survival rate of patients.Methods 278 patients with digestive cancer received service of hospice from 2007 to 2009 were taken part in following up investigation and retrospective analysis.The median survival time and survival rate were calculated and the relationships among various factors were explored.Results The median survival time of all the patients died of cancer was 11 months and the average survival time was 20.4 months.The accumulated survival rate of 1 year was 0.478±0.031 and the accumulated survival rate of 5 year was 0.079±0.018.The gender,age,doing or not doing operation and the time of pain appearing influenced survival time statistically.Conclusion The most important measures of prolonging survival time of patients with digestive cancer were early found,early diagnosed,efficient operation and positive multiple intervention.