老年胃癌术后合并胃瘫危险因素分析

Risk factors for postoperative gastroplegia in elderly patients with gastric cancer

目的探讨老年胃癌术后合并胃瘫的危险因素。方法回顾性分析110例老年胃癌手术患者的临床资料,分析术后胃瘫发生率及影响因素。结果本组术后胃瘫发生率45.45%(50/110);术前合并幽门梗阻(r=0.820,P=0.034)、远端胃切除(r=0.894,P=0.022)、血清白蛋白<30g/L(r=0.793,P=0.049)以及术后血糖≥8 mmol/L(r=0.841,P=0.044)与老年胃癌术后合并胃瘫发生相关。结论老年胃癌术后胃瘫发生率较高,幽门梗阻、手术方式选择不当及术后高血糖是导致老年胃癌术后合并胃瘫的危险因素,而围手术期正常白蛋白水平是胃瘫的保护因素。

Objective To investigate the risk factors for postoperative gastroplegia in the elderly patients with gastric cancer.Methods The clinical data of 110 elderly patients undergoing gastric surgery for gastric cancer were retrospectively analyzed to study the incidence of postoperative gastroplegia and its influential factors.Results The incidence of postoperative gastroplegia was 45.45%（50/110）.The preoperative complication of pyloric obstruction（r=0.820,P=0.034）,distal gastrectomy（r=0.894,P=0.022）,serum albumin 〈30g/L（r=0.793,P=0.049）and postoperative plasma glucose≥8mmol/L（r=0.841,P=0.044）were correlated with the development of gastroplegia after gastric surgery.Conclusion The elderly patients have a high incidence of postoperative gastroplegia.Pyloric obstruction,improper surgical approaches options and high postoperative plasma glucose levels are the risk factors for gastroplegia in elderly patients after gastric cancer surgery,and perioperative albumin level is a protective factor for gastroplegia.