中国伤残医学
中國傷殘醫學
중국상잔의학
CHINESE JOURNAL OF TRAUMA AND DISABILITY MEDICINE
2014年
21期
5-7
,共3页
胃大部切除术%胃瘫综合征%危险因素
胃大部切除術%胃癱綜閤徵%危險因素
위대부절제술%위탄종합정%위험인소
Gastrectomy%Gastroparesis syndrome%Risk factors
目的：分析胃大部切除术后胃瘫综合征的临床危险因素。方法：研究对象源于我科2013年3月～2013年11月收治的胃大部切除术后患者317例，选择其中并发胃瘫综合征者62例作为研究组，再根据1：3配对的方法选取与研究组患者一般状况类似的未并发胃瘫综合征者186例作为对照组；通过Pearson单因素分析及相关因素多元Logistic回归分析进行危险因素的探究。结果：通过单因素分析推测与胃瘫综合征相关有9个因素；进行胃瘫综合征相关的Logistic回归分析显示4个因素与术后胃瘫发生相关性强。结论：针对临床危险因素，胃大部切除术后应采取术前治疗幽门梗阻、调节积极情绪、采用B-I术式及减少手术进程等措施，建议临床推广应用。
目的：分析胃大部切除術後胃癱綜閤徵的臨床危險因素。方法：研究對象源于我科2013年3月～2013年11月收治的胃大部切除術後患者317例，選擇其中併髮胃癱綜閤徵者62例作為研究組，再根據1：3配對的方法選取與研究組患者一般狀況類似的未併髮胃癱綜閤徵者186例作為對照組；通過Pearson單因素分析及相關因素多元Logistic迴歸分析進行危險因素的探究。結果：通過單因素分析推測與胃癱綜閤徵相關有9箇因素；進行胃癱綜閤徵相關的Logistic迴歸分析顯示4箇因素與術後胃癱髮生相關性彊。結論：針對臨床危險因素，胃大部切除術後應採取術前治療幽門梗阻、調節積極情緒、採用B-I術式及減少手術進程等措施，建議臨床推廣應用。
목적：분석위대부절제술후위탄종합정적림상위험인소。방법：연구대상원우아과2013년3월～2013년11월수치적위대부절제술후환자317례，선택기중병발위탄종합정자62례작위연구조，재근거1：3배대적방법선취여연구조환자일반상황유사적미병발위탄종합정자186례작위대조조；통과Pearson단인소분석급상관인소다원Logistic회귀분석진행위험인소적탐구。결과：통과단인소분석추측여위탄종합정상관유9개인소；진행위탄종합정상관적Logistic회귀분석현시4개인소여술후위탄발생상관성강。결론：침대림상위험인소，위대부절제술후응채취술전치료유문경조、조절적겁정서、채용B-I술식급감소수술진정등조시，건의림상추엄응용。
Objective:To analyze the clinical risk factors of postoperative gastroparesis syndrome.Methods:Patients from 2013 March to 2013 November in our department were treated in 317 cases, choose gastroparesis syndrome in 62 cases as the study group, and the sim-ilar research selection of 1:3 matching method in 168 cases as the control group;so as to explore risk factors by multivariate Logistic re-gression analysis of single factor and analysis of Pearson related factors.Results:Factor analysis of gastroparesis syndrome associated with 9 factors;and the gastric paralysis syndrome analysis showed that 4 factors are postoperative gastroparesis strong correlations.Conclusion:Face to the clinical risk factors, gastrectomy should be taken after preoperative treatment of pyloric obstruction, the regulation of positive emotion, using B-I operation and reduce operation process and other measures.
