胃癌患者术后胃瘫综合征的多因素Logistic分析

Multi-factor logistic analysis of postoperative gastroparesis syndrome in patients with gastric cancer

目的:探讨胃癌患者术后发生胃瘫综合征的危险因素。方法:选取行远端胃癌根治术的328例患者,并将其分为病例组和正常组,病例组72例,正常组256例,然后收集两组患者的术前、术后的临床数据。结果:胃肠吻合方式、术后高血糖症和术后腹腔并发症是胃癌术后出现胃瘫综合征的独立危险因素(OR> 1,CI=2. 383~157. 531,P <0. 05),且术后腹腔并发症是胃癌患者术后出现胃瘫综合征最重要的危险因素(OR=36)。结论:在手术中尽量避免BillrothⅡ式吻合,严格控制患者的血糖,并采用综合性的护理方法预防胃瘫综合征并发症,这对降低胃癌患者术后胃瘫综合征的发生率具有积极作用。

Objective： To investigate the risk factors of postoperative gastroparesis syndrome in patients with gastric cancer. Methods： 328 patients who had radical resection of distal gastric cancer operation were selected, and divided into diagnosed groups （72 cases） and normal group （256 cases）, and then the clinical data were collected and analyzed from two groups of patients before operation and postoperation by questionnaire of gastric cancer postsurgical gastroparesis syndrome. Results： Gastrointestinal anastomosis, postoperative hyperglycemia and postoperative abdominal complications are the independent risk factors of gastroparesis syndrome in postoperative gastric cancer （ OR 〉1, CI =2.383-157.531, P 〈0.05）, and the postoperative abdominal complications is most important risk factor for gastric cancer patients （ OR =36）. Conclusion： To adopt a reasonable comprehensive treatment plan, and prevent Billroth type II anastomosis during the operation, and strictly control the blood sugar of the patients, and prevention of complications of PGS, has positive effect for reducing the incidence rate of postoperative gastroparesis syndrome.