胃癌根治术后影响早期胃肠道功能恢复的多因素分析

发布时间：2018-05-28 10:36

  本文选题：胃癌术后 + 胃肠道功能　； 参考：《广西医科大学》2017年硕士论文

【摘要】：目的:探讨影响胃癌患者行根治术后影响早期胃肠道功能恢复的相关因素,指导临床治疗。方法:选取2012年1月至2016年12月在广西医科大学第一附属医院胃肠腺体外科行胃癌D2根治术患者651例,采用单因素及多因素分析,检验各影响因素与术后首次肛门排气时间的相关性。结果:(1)单因素分析显示不同年龄组、手术方式、出血量、输血量、手术时间的排气时间分布差异具有统计学意义(P0.05),而其他指标间的排气时间分布差异均无统计学意义(P0.05);(2)多因素分析显示开放手术者、术中出血量大者、高龄患者术后肛门排气时间越长,差异有统计学意义(P0.05);(3)术后首次肛门排气时间与围手术期血红蛋白水平无显著相关(P0.05)。结论:手术方式、术中出血量、年龄影响胃癌根治术后早期胃肠道功能恢复。胃癌患者围手术期血红蛋白水平≥70g/L时均不影响术后胃肠道功能早期恢复。
[Abstract]:Objective: to investigate the factors influencing the early recovery of gastrointestinal function after radical resection in patients with gastric cancer and to guide the clinical treatment. Methods: from January 2012 to December 2016, 651 patients with gastric cancer underwent D2 radical gastrectomy in the first affiliated Hospital of Guangxi Medical University. The correlation between the influencing factors and the first anal exhaust time after operation was examined. Results single factor analysis showed that different age groups, operation methods, blood loss, blood transfusion, There was significant difference in the distribution of exhaust time between operation time (P 0.05), but there was no significant difference in exhaust time (P 0.05) among other indexes. Multivariate analysis showed that the patients with open operation had large amount of blood loss during operation. There was no significant correlation between the first anal exhaust time and the hemoglobin level in perioperative period. Conclusion: operation mode, intraoperative bleeding volume and age affect the early recovery of gastrointestinal function after radical gastrectomy. The perioperative hemoglobin level 鈮，

本文编号：1946378