体重指数与腹部手术后并发症关系的探讨

Study on relationship between body mass index and abdomen surgery complication.

目的 探讨体重指数（BMI）与腹部手术并发症的关系.方法 2003年2月至2006年3月我医院就治的成人腹部手术患者1752例,按照体重指数（BMI）分组,在体重过低、正常体重、超重、肥胖组中比较切口裂开、切口感染、肺感染、尿路感染、心衰、静脉血栓栓塞症（VTE）、死亡等并发症发生率.结果 肥胖组及超重组并发症发生率较正常,体重过低组高,肥胖组较正常显著升高（P＜0.01）.肥胖组并发症发生率较总并发症发生率明显升高（P＜0.01）.结论 超重及肥胖可使腹部手术后并发症发生率增加,应对此类人群做到术前对并发症的预防估计,术后及时发现并处理并发症.

Objective To explore the relationship between body mass index and abdomen surgery complication. Methods From February 2003 to March 2006 the adult abdomen surgery patient 1752 examples, According to body mass index （BMI） grouping, Compare abdomen surgery complication formation rate. Resulte Abdomen surgery complication formation rate of the overweight and obesity obvious ascension to the other（P 〈 0.01 ）. Conclusion Overweight and obesity may cause the abdomen surgery the complication formation rate increase, Should complete thecomplication estimate before the surgery, Discovered and processes thecomplication promptly.