体质量指数对食管癌根治术后患者早期并发症的影响分析

Analysis of the Influence of Body Mass Index on Early Complication in Esophageal Cancer Patients after Radical

目的分析体质量指数(BMI)对食管癌根治术后患者早期并发症的影响。方法选取2014年10月至2017年10月在我院行食管癌根治术的71例食管癌患者,根据体质量指数级别将患者分为低体重组(16例,BMI<18.5 kg/m^2)、正常体重组(22例,18.5 kg/m^2≤BMI<24 kg/m^2)、超重组(21例,24 kg/m^2≤BMI<28 kg/m^2)、肥胖组(12例,BMI≥28 kg/m^2),对比四组患者行食管癌根治术后早期并发症发生情况。结果随着患者体重的增加,患者术后吻合口瘘、心血管并发症的发生率也随之增加,肥胖组患者术后吻合口瘘、心血管并发症、切口感染的发生率显著高于低体重组、正常体重组、超重组(P<0.05)。四组患者其余并发症以及死亡等发生率无显著差异(P>0.05)。结论肥胖会增加食管癌根治术后患者早期并发症的发生风险,但肥胖并不能作为食管癌患者的手术禁忌证,临床应加强对肥胖患者围手术期的护理干预,将肥胖患者列入并发症预防的重要管理人群。

Objective To analyze the influence of body mass index(BMI)on the early complications of esophageal cancer patients after radical operation.Methods A total of 71 esophageal cancer patients undergoing esophageal cancer radical mastectomy in our hospital from October 2014 to October 2017 were divided into low body weight group(BMI<18.5kg/m^2),body mass index(BMI<18.5kg/m^2)Body weight(22cases,18.5kg/m^2≤BMI<24kg/m^2),overweight group(21cases,24kg/m^2≤BMI<28kg/m^2),obesity group(12 cases,BMI≥28kg/m^2)The incidence of early complications after radical resection of esophageal cancer was compared between the four groups.Results With the increase of patient's weight,the incidence of postoperative anastomotic fistula and cardiovascular complications also increased.The incidence of postoperative anastomotic leakage,cardiovascular complications and incision infection in obese patients was significantly higher than that of low-weight Group,normal weight group,overweight group(P<0.05).The incidence of empyema,hoarseness,diaphragmatic hernia,postoperative bleeding,chylothorax,pulmonary complications and death in the four groups was not statistically significant(P>0.05).Conclusion Obese will increase the risk of early complications in patients with esophageal cancer after radical surgery,but obesity and esophageal cancer patients can not be used as a surgical contraindication,should be strengthened in perioperative nursing intervention in obese patients,obese patients included in the prevention of complications The important management crowd.