胃癌围手术期营养风险和并发症影响因素分析

发布时间：2018-06-27 09:20

  本文选题：胃癌 + 营养风险　； 参考：《中华肿瘤防治杂志》2017年06期

【摘要】：目的胃癌是最常见的消化道恶性肿瘤,围手术期营养风险和并发症发生率较高,本研究旨在分析胃癌患者围手术期营养风险和并发症的影响因素。方法收集2011-11-01-2014-11-01山东大学附属山东省肿瘤医院胃肠外科876例胃癌手术患者的营养风险、营养支持和围手术期并发症等数据,分析营养风险以及并发症的相关因素,进一步分析营养支持和并发症的关系。结果(1)有营养风险492例,发生率为56.2%,其中积分3分占27.1%,4~7分占29.1%。单因素分析结果显示,年龄、临床分期、病理鲍曼分型和并发症与营养风险相关;多因素分析显示,年龄65岁、病理Ⅲ期和并发症是独立危险因素。(2)有并发症158例,发生率为18.0%。单因素分析显示,年龄、病理分期、鲍曼分型、术中出血量、ASA评分、营养风险和并发症与并发症显著相关;多因素分析显示,年龄65岁、病理分期Ⅲ期、营养风险、ASA评分和并发症是独立危险因素。(3)分层分析显示,有风险者营养支持并发症为17.9%,低于无规范营养支持的29.2%,无营养风险者营养支持对并发症无显著性影响。结论影响胃癌营养风险和并发症的独立危险因素有年龄、病理分期和并发症,营养风险为并发症的独立危险因素,规范的营养支持为营养风险者并发症的保护性因素。
[Abstract]:Objective gastric cancer is the most common malignant tumor of digestive tract. The nutritional risk and complication rate of gastric cancer patients during perioperative period are higher. The purpose of this study was to analyze the influencing factors of perioperative nutritional risk and complications in patients with gastric cancer. Methods data of nutritional risk, nutritional support and perioperative complications of 876 patients with gastric cancer in Shandong Cancer Hospital affiliated to Shandong University were collected from 2011-11-01-2014-11-01, and the related factors of nutritional risk and complications were analyzed. To further analyze the relationship between nutritional support and complications. Results (1) there were 492 cases with nutritional risk, the incidence rate was 56.2%, of which the score of 3 points accounted for 27.1% and the score of 4 ~ 7 points accounted for 29.1%. Univariate analysis showed that age, clinical stage, pathological Bowman classification and complications were associated with nutritional risk, multivariate analysis showed that age 65 years old, pathological stage 鈪，

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