常规放射治疗与89Sr核素治疗对骨转移性疼痛的临床效果对比
Comparison of the effects of conventional radiotherapy and 89 Sr nuclides on patients with bone metastatic pain
目的 对比骨转移性疼痛患者应用常规放射及89 Sr核素治疗后的效果.方法 用掷币法将2016年10月至2017年10月鹤壁市人民医院核医学科85例骨转移疼痛患者分为两组,常规组42例行常规剂量分割放疗治疗,核素组43例予89 Sr核素治疗,对比两组疼痛状况及疗效.结果 核素组疼痛治疗后有效缓解时间短于常规组(P<0.05),核素组VAS评分及总有效率与常规组比较,差异未见统计学意义(P>0.05).结论 骨转移疼痛患者经常规放疗或核素治疗疼痛缓解效果相当,后者疼痛缓解较常规放疗快,临床应根据患者情况进行治疗.
更多Objective To compare the effects of conventional radiotherapy and 89 Sr nuclides after treatment of patients with bone metastatic pain .Methods Eighty-five patients with bone metastasis pain in Nuclear Medicine Department of Hebi People's Hospital from October 2016 to Octorer 2017 were divided into two groups by coin toss method , 42 patients in the conventional group received conventional dose-fractionated radiotherapy , and 43 patients in the radionuclide group were treated with 89 Sr nuclides . The pain and efficacy between the two groups were compared .Results The effective remission time after pain treatment in the radionuclide group was shorter than that in the conventional group ( P<0.05) .The visual conalogue scale score and total effective rate of nuclide group were compared with those of routine group , there was no significant difference ( P>0.05 ) .Conclusions Patients with bone metastases have similar pain relief effects by conventional radiotherapy or radionuclide therapy , but their pain relief is shorter than conventional radiotherapy , and clinical treatment should be based on the patient's condition .
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