海南医学
海南醫學
해남의학
HAINAN MEDICAL JOURNAL
2015年
7期
976-978
,共3页
胃癌%功能性胃排空障碍%危险因素%分析
胃癌%功能性胃排空障礙%危險因素%分析
위암%공능성위배공장애%위험인소%분석
Gastric cancer%Functional gastric emptying disorder%Risk factors%Analysis
目的：分析胃癌术后功能性胃排空障碍(FDGE)的危险因素。方法选择2011年4月至2014年4月在我院接受胃癌根治术治疗的患者153例作为研究对象，根据是否发生FDGE分为FDGE组45例，无FDGE组108例。先对胃癌术后发生FDGE进行单因素分析，并进一步根据Logistic回归法分析胃癌术后发生FDGE的危险因素。结果 FDGE组在术后血糖>8 mmol/L、围术期的白蛋白水平≤30 g/L、手术前有胃潴留、吻合方式为BillrothⅡ式、未保留迷走神经干及有焦虑情绪等方面的比例均显著高于无FDGE组，差异均有统计学意义(P<0.05)。根据Logistic回归分析后发现，术后血糖＞8 mmol/L、围术期的白蛋白水平≤30 g/L、手术前有胃潴留、吻合方式为BillrothⅡ式、未保留迷走神经干以及有焦虑情绪等均为胃癌术后发生FDGE的危险因素。结论影响胃癌术后FDGE的危险因素较多，临床上应予以重视。
目的：分析胃癌術後功能性胃排空障礙(FDGE)的危險因素。方法選擇2011年4月至2014年4月在我院接受胃癌根治術治療的患者153例作為研究對象，根據是否髮生FDGE分為FDGE組45例，無FDGE組108例。先對胃癌術後髮生FDGE進行單因素分析，併進一步根據Logistic迴歸法分析胃癌術後髮生FDGE的危險因素。結果 FDGE組在術後血糖>8 mmol/L、圍術期的白蛋白水平≤30 g/L、手術前有胃潴留、吻閤方式為BillrothⅡ式、未保留迷走神經榦及有焦慮情緒等方麵的比例均顯著高于無FDGE組，差異均有統計學意義(P<0.05)。根據Logistic迴歸分析後髮現，術後血糖＞8 mmol/L、圍術期的白蛋白水平≤30 g/L、手術前有胃潴留、吻閤方式為BillrothⅡ式、未保留迷走神經榦以及有焦慮情緒等均為胃癌術後髮生FDGE的危險因素。結論影響胃癌術後FDGE的危險因素較多，臨床上應予以重視。
목적：분석위암술후공능성위배공장애(FDGE)적위험인소。방법선택2011년4월지2014년4월재아원접수위암근치술치료적환자153례작위연구대상，근거시부발생FDGE분위FDGE조45례，무FDGE조108례。선대위암술후발생FDGE진행단인소분석，병진일보근거Logistic회귀법분석위암술후발생FDGE적위험인소。결과 FDGE조재술후혈당>8 mmol/L、위술기적백단백수평≤30 g/L、수술전유위저류、문합방식위BillrothⅡ식、미보류미주신경간급유초필정서등방면적비례균현저고우무FDGE조，차이균유통계학의의(P<0.05)。근거Logistic회귀분석후발현，술후혈당＞8 mmol/L、위술기적백단백수평≤30 g/L、수술전유위저류、문합방식위BillrothⅡ식、미보류미주신경간이급유초필정서등균위위암술후발생FDGE적위험인소。결론영향위암술후FDGE적위험인소교다，림상상응여이중시。
Objective To study the risk factors analysis of functional delayed gastric emptying (FDGE) after gastric cancer radical operation. Methods A total of 153 patients with gastric cancer undergoing radical operation in our hospital from April 2011 to April 2014 were selected as research objects. The patients were divided into two groups according to the occurrence of FDGE: FDGE group (n=45, patients with FDGE occurred) and non-FDGE group (n=108, patients without FDGE). Single factor analysis was performed, and then Logistic regression analysis was performed to analyze the risk factors of FDGE after gastric cancer radical operation. Results The rate of postop-erative blood glucose>8 mmol/L, perioperative albumin levels≤30 g/L, gastric retention before operation, BillrothⅡtype as anastomotic mode, not keeping the vagus nerve trunk, and anxiety in FDGE group were significantly higher than those in non-FDGE group (all P<0.05). According to Logistic regression analysis, postoperative blood glucose>8 mmol/L, perioperative albumin levels≤30 g/L, gastric retention before operation, BillrothⅡtype as anastomotic mode, not keeping the vagus nerve trunk and anxiety were all the risk factors of FDGE after gastric cancer radical op-eration. Conclusion There are lots of risk factors that influence FDGE after gastric cancer radical operation, which should be paid attention to in clinic.
