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Chest:肺癌患者的咳嗽:特征和临床关联的纵向观察性研究

2018-10-15 xiangting MedSci原创

这是首个描述肺癌患者咳嗽特征的研究,确定了可能与其治疗相关的临床相关性。

咳嗽在肺癌患者中很常见,目前的镇咳治疗不是太理想。已发布的描述肺癌患者咳嗽的数据或评估其临床关联的工作很少;这一研究的目的是填补这一空白。

这是一项超过60天的纵向前瞻性、观察性单队列研究。通过自我报告的验证量表评估患者,并在子样本中,在研究开始(第0天)、第30天和第60天进行动态咳嗽监测。

研究开始时,纳入了177名患者,其中153名患者在第60天提供了数据。咳嗽的中位持续时间为52周(IQR 8.5-260)。62%患者的咳嗽被描述为严重到需要治疗。根据使用的量表,表现状态与研究开始时咳嗽严重程度和咳嗽的影响相关(p<0.001),而研究开始时较重的咳嗽严重程度与女性(p=0.02)、哮喘(p=0.035)和反流病相关(p<0.001);研究开始时的咳嗽影响还与出现恶心相关(p=0.018)。癌症特征(即癌症分期、组织学)与咳嗽严重程度或咳嗽影响无关;吸烟或COPD也与咳嗽严重程度或咳嗽影响无关。

这是首个描述肺癌患者咳嗽特征的研究,确定了可能与其治疗相关的临床相关性。这项研究数据表明,咳嗽是一种常见且令人痛苦的症状,并且临床需求未得到满足。这项研究中它与肠症状的相关性可以提高人们对肺癌患者咳嗽病理生理学和治疗选择的理解。

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    2018-11-07 xiangyuzhou971
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    2019-05-02 Smile2680
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