Kanserli Çocuklarda Kemoterapi ile İlişkili Gecikmiş Bulantı ve Kusma

Yıl 2011, Cilt: 9 Sayı: 2, 1 - 6, 01.09.2011

Metin Demirkaya , Betül Sevinir Ramazan Özdemir Meliha Demiral

Öz

Giriş: Çocuk onkoloji hastalarında kemoterapi ile ilişkili gecikmiş bulantı ve kusmanıninsidansı ve ilişkili faktörler araştırıldı.Gereç ve Yöntem: Çalışmaya Ocak-Aralık 2009 tarihleri arasında, 0-18 yaş arası, lenfoma ve solid tümörlü, kemoterapi alan hastalar dâhil edildi. Hastaların kusmaları sayıolarak, bulantı şiddetleri ise 0-10 arası rakamsal ölçme yöntemi ile derecelendirildi.Bulantı şiddeti ve kusma sayıları günlük olarak aynı hekim tarafından kaydedildi. Bulgular: Çalışmada 35 hastada, 69 kemoterapi kürü sonrası gecikmiş bulantı ve kusmaatağı incelendi. Hastaların 22’si kız, 13’ü erkek; yaş ortalaması 8,88±5,43 yıl yaş aralığı1-17 yıl idi. Hastalarda gecikmiş bulantı varlığı 1. gün %2,8, 2. gün %81,1, 3. gün %68,1,4. gün %46,3, 5. gün %24,6; gecikmiş kusma varlığı ise 1. gün %1,4, 2. gün %65,2, 3. gün%43,5, 4. gün %24,6, 5. gün %13,0 oranında idi. Cinsiyetler arasında gecikmiş bulantışiddeti ve kusma sayısı açısından fark saptanmadı. Yaş ile gecikmiş bulantı şiddetiarasında 2, 3, 4 ve 5. günlerde istatistiksel olarak anlamlı pozitif korelasyon mevcuttu korelasyon katsayısı sırasıyla; 0,29, 0,27, 0,33, 0,24; p değeri sırasıyla; =0,013, =0,023,=0,005, =0,046 . İlaçların emetojenite derecesinin kusma sayısı ve bulantı şiddetineistatistiksel olarak anlamlı etkisi saptanmadı. Sisplatinli kemoterapi protokolü alanlarda kusma sayısı ikinci ve üçüncü günlerde; bulantı şiddeti birinci, ikinci ve üçüncü günlerde istatistiksel olarak anlamlı olacak şekilde fazla idi.Sonuç: Çalışmamızda bulantı ve kusmanın en yüksek oranda ikinci gün var olduğu,sisplatin alan hasta grubunda kusma sayısı ve bulantı şiddetinin daha fazla olduğu veyaşla bulantı şiddetinin pozitif korelasyon gösterdiği saptandı

Anahtar Kelimeler

Gecikmiş bulantı ve kusma, çocukluk çağı kanserleri, kemoterapi

Delayed Chemotherapy-Induced Nausea and Vomiting in Children with Cancer

Öz

Introduction: The incidence of chemotherapy-induced late emesis and vomiting in pediatric oncology patients and the related factors were investigated. Materials and Method: The study consisted of the patients aged between 0-18 yearsand given chemotherapy between January and December 2009. The amount of vomiting was described on numbers and the grade of nausea was describedbetween 0-10. Vomiting and nausea was evaluated daily by the same clinician. Results: Sixty nine late nausea and vomiting episodes in 35 patients were evaluated.There were 22 females and 13 males in the study group. Mean age was 8.88±5.43 1to 17 years. Late nausea was found 2.8% on the first day, 81.1% on the second day,68% on the third day, 46.3% on the fourth day and 24.6% on the fifth day. Late emesiswas found 1.4% on the first day, 65.2% on the second day, 43.5% on the third day,24.6% on the fourth day and 13% on the fifth day. There was no significant differencein nausea and emesis between boys and girls. There was a positive correlationbetween the age and nausea/emesis episodes. The correlation coefficients betweenage and nausea grade on 2, 3, 4 and 5thdays were 0.29, 0.27, 0.33, and 0.24, respectively; and p values were 0.013, 0.023, 0.005 and 0.046, respectively. The degreeDemirkaya ve ark. Kanserli Çocuklarda Geçikmiş Bulantı ve Kusmaof the emetogenic potential of drugs on the number of emesis and the severity of nausea was found to be not significant.The vomiting was statistically significant on second and third days and grade of nausea on first, second and third days inthe patients given cisplatin.Conclusion: In this study, it was found that emesis was most seen in the second day of chemotherapy, the grade of vomiting was higher in patients receiving cisplatin and there is a positive correlation between age and grade of nausea

Anahtar Kelimeler

Nausea, vomiting, child, cancer, chemotherapy

Kaynakça

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