中国综合临床
中國綜閤臨床
중국종합림상
CLINICAL MEDICINE OF CHINA
2014年
7期
745-747
,共3页
胃癌%老年人%并发症%影响因素
胃癌%老年人%併髮癥%影響因素
위암%노년인%병발증%영향인소
Gastric cancer%Elderly%Complications%Factors
目的:探讨老年胃癌患者术后并发症的影响因素。方法选择2009年1月至2012年12月在普外科接受手术治疗的老年胃癌患者(年龄≥65岁)115例,根据术后是否发生并发症分为两组,术后发生并发症63例,其余52例术后未发生并发症,回顾性分析两组患者的一般资料,包括年龄、胃癌分期、是否行根治手术、是否联合脏器切除和手术时间等,总结术后发生并发症的相关因素。结果术后并发症影响因素中,有无并发症组患者年龄分布、胃癌分期、是否行根治手术、是否联合脏器切除等差异均无统计学意义(χ2=3.113、P =0.078,χ2=0.465、P =0.495,χ2=0.518、P =0.472,χ2=0.303、P=0.582),术后未发生并发症组与发生并发症组手术时间≤3 h 者分别为30例(57.9%)和51例(81.0%),>3 h 者分别为22例(42.3%)和12例(19.1%),两组手术时间比较差异有统计学意义(χ2=6.326,P =0.012)。结论手术时间是老年胃癌患者术后并发症的主要影响因素,因此,在保证手术质量的前提下,尽可能缩短手术时间是降低老年胃癌患者术后并发症发生率最有效的方法。
目的:探討老年胃癌患者術後併髮癥的影響因素。方法選擇2009年1月至2012年12月在普外科接受手術治療的老年胃癌患者(年齡≥65歲)115例,根據術後是否髮生併髮癥分為兩組,術後髮生併髮癥63例,其餘52例術後未髮生併髮癥,迴顧性分析兩組患者的一般資料,包括年齡、胃癌分期、是否行根治手術、是否聯閤髒器切除和手術時間等,總結術後髮生併髮癥的相關因素。結果術後併髮癥影響因素中,有無併髮癥組患者年齡分佈、胃癌分期、是否行根治手術、是否聯閤髒器切除等差異均無統計學意義(χ2=3.113、P =0.078,χ2=0.465、P =0.495,χ2=0.518、P =0.472,χ2=0.303、P=0.582),術後未髮生併髮癥組與髮生併髮癥組手術時間≤3 h 者分彆為30例(57.9%)和51例(81.0%),>3 h 者分彆為22例(42.3%)和12例(19.1%),兩組手術時間比較差異有統計學意義(χ2=6.326,P =0.012)。結論手術時間是老年胃癌患者術後併髮癥的主要影響因素,因此,在保證手術質量的前提下,儘可能縮短手術時間是降低老年胃癌患者術後併髮癥髮生率最有效的方法。
목적:탐토노년위암환자술후병발증적영향인소。방법선택2009년1월지2012년12월재보외과접수수술치료적노년위암환자(년령≥65세)115례,근거술후시부발생병발증분위량조,술후발생병발증63례,기여52례술후미발생병발증,회고성분석량조환자적일반자료,포괄년령、위암분기、시부행근치수술、시부연합장기절제화수술시간등,총결술후발생병발증적상관인소。결과술후병발증영향인소중,유무병발증조환자년령분포、위암분기、시부행근치수술、시부연합장기절제등차이균무통계학의의(χ2=3.113、P =0.078,χ2=0.465、P =0.495,χ2=0.518、P =0.472,χ2=0.303、P=0.582),술후미발생병발증조여발생병발증조수술시간≤3 h 자분별위30례(57.9%)화51례(81.0%),>3 h 자분별위22례(42.3%)화12례(19.1%),량조수술시간비교차이유통계학의의(χ2=6.326,P =0.012)。결론수술시간시노년위암환자술후병발증적주요영향인소,인차,재보증수술질량적전제하,진가능축단수술시간시강저노년위암환자술후병발증발생솔최유효적방법。
Objective To investigate the factors of postoperative complications of elderly patients with gastric cancer. Methods One hundred and fifth elderly patients with gastric cancer were selected as our subjects,who were underwent surgical treatments in general surgery department Jiangsu Shengze Hospital from Jan. 2009 to Dec. 2012. The general informations including age,staging of gastric cancer,radical operation performed or not,resection combined with other organs and operation periods were recorded. Results There were no significant differences between postoperative complications patients in terms of age,staging of gastric cancer,radical operation performed or not,resection combined with other organs( χ2 = 3. 113,P = 0. 078,χ2= 0. 465,P = 0. 495,χ2 = 0. 518,P = 0. 472,χ2 = 0. 303,P = 0. 582). The cases with operation periods < 3 h in complication group and no complication group were 30(57. 9% )and 51(81. 0% ),and the operation periods> 3 h were 22(42. 3% )and 12(19. 1% )respectively,and the difference was significant( χ2 = 6. 326,P= 0. 012). Conclusion Operation period is the main influencing factor of the elderly patients with gastric cancer. Therefore,reducing operation period under ensuring operation quality is more efficiency to decrease the complication.