文章摘要

血液系统恶性肿瘤化疗后不良事件发生的危险因素

作者: 1薛莲, 1顾丽磊, 1杨卫林, 1徐小梅
1 联勤保障部队第904医院血液肿瘤科,江苏 无锡 214000
通讯: 薛莲 Email: xl123451130@163.com
DOI: 10.3978/j.issn.2095-6959.2022.06.012

摘要

目的:分析血液系统恶性肿瘤化疗后不良事件发生的危险因素。方法:选择2020年1月至2021年1月联勤保障部队第904医院血液肿瘤科收治的恶性肿瘤化疗患者135例,对所有患者的临床资料进行回顾性分析。对所有患者化疗后不良事件发生情况采用单因素、多因素logistic回归分析,探讨其独立危险因素。结果:在135例患者中,有70例(51.85%)出现化疗后不良事件发生。单因素分析显示不同肝功能损害程度及有无高血压病病史、活动性感染、凝血功能异常、肥胖症的血液肿瘤科恶性肿瘤患者化疗后不良事件发生率比较,差异有统计学意义(P<0.05)。经多因素分析,肝功能损害、活动性感染、凝血功能异常、肥胖症是导致患者化疗后不良事件发生的独立危险因素(P<0.05)。结论:肝功能损害、活动性感染、凝血功能异常、肥胖症是导致患者化疗后不良事件发生的独立危险因素,且多因素分析可良好预测患者化疗后不良事件发生风险。
关键词: 血液科;恶性肿瘤;化疗;不良事件;危险因素

Risk factors for adverse events after chemotherapy for hematological malignancies

Authors: 1XUE Lian, 1GU Lilei, 1YANG Weilin, 1XU Xiaomei
1 Department of Hematology and Oncology, No. 904 Hospital of Joint Logistics Support Force, Wuxi Jiangsu 214000, China

CorrespondingAuthor: XUE Lian Email: xl123451130@163.com

DOI: 10.3978/j.issn.2095-6959.2022.06.012

Abstract

Objective: To analyze the risk factors of adverse events after chemotherapy for hematological malignancies. Methods: A total of 135 patients with malignant tumor chemotherapy admitted to the Department of Hematology of No. 904 Hospital of Joint Logistics Support Force from January 2020 to January 2021 were selected, and the clinical data of all patients were retrospectively analyzed. Univariate and multivariate logistic regression analysis was used to analyze the occurrence of adverse events in all patients after chemotherapy to explore their independent risk factors and establish related risk prediction models. Results: Seventy of 135 patients had adverse events after chemotherapy, accounting for 51.85%. Univariate analysis showed that there was a statistically significant difference in the incidence of adverse events after chemotherapy in patients with hematological malignancies with different degrees of liver damage and history of hypertension, active infection, abnormal blood coagulation, and obesity (P<0.05). After multivariate analysis, liver damage, active infection, abnormal blood coagulation, and obesity were independent risk factors that led to adverse events after chemotherapy (P<0.05). Conclusion: Liver damage, active infection, abnormal blood coagulation function, and obesity are independent risk factors for adverse events after chemotherapy, and multivariate analysis can predict the risk of adverse events after chemotherapy.

Keywords: department of hematology; malignant tumor; chemotherapy; adverse events; risk factors

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