CAJ | 학술논문

目的探讨老年人胃癌手术并发症的原因和防治措施,以提高老年人胃癌术后生存率.方法回顾性分析2006年10月-2011年10月我院收治的178例老年人胃癌患者的临床资料.结果年龄、性别、肿瘤位置与术后并发症发生率无明显相关性(P＞0.05)；伴随疾病、手术时间、手术方式、低蛋白血症、术前红细胞和血红蛋白值等5项因素是老年人胃癌术后并发症的独立危险因素,其OR值分别为3.837、3.412、2.782、2.046、2.031.结论老年人胃癌患者术后容易出现多种并发症,并发症的发生与术前某些独立危险因素密切相关,在围手术期处理中需要更为科学细致的处置.
목적 탐토노년인위암수술병발증적원인화방치조시,이제고노년인위암술후생존솔.방법 회고성분석2006년10월-2011년10월아원수치적178례노년인위암환자적림상자료.결과 년령、성별、종류위치여술후병발증발생솔무명현상관성(P＞0.05)；반수질병、수술시간、수술방식、저단백혈증、술전홍세포화혈홍단백치등5항인소시노년인위암술후병발증적독립위험인소,기OR치분별위3.837、3.412、2.782、2.046、2.031.결론 노년인위암환자술후용역출현다충병발증,병발증적발생여술전모사독립위험인소밀절상관,재위수술기처리중수요경위과학세치적처치.
Objective To improve the postoperative survival rate in elderly patients undergoing surgeries for gastric cancer by investigating the causes and prevention of surgery-associated complications.Methods Retrospectively analyzed the clinical data on 178 elderly patients with gastric cancer who had been hospitalized during the period of October 2006 to October 2011 and the effect of 8 factors such as age,gender,preoperative diseases,surgical time and method in the development of postoperative complications.Results The rate of postoperative complications was not obviously associated with age,sex,and tumor locations ( P＞ 0.05 ).Concomitant diseases,surgical duration and procedures,hypoproteinemia,and preoperative values of erythrocyte and hemoglobin were the independent risks of postoperative complications,and their ORvalues were 3.837,3.412,2.782,2.046,and 2.031,respectively.Conclusions Various complications easily occurred in elderly patients with gastric cancer.The incidence of complications is closely associated with some postoperative independent risks.These Patients need to be paid more attention,especially the ones with the 5 factors mentioned above.