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华西医学  2011 

腹部非胃及十二指肠术后发生胃瘫综合征的高危因素分析

, PP. 532-534

Keywords: 手术,胃瘫,高危因素

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Abstract:

【】 目的 探讨腹部非胃、十二指肠手术后胃瘫综合征(postoperativegastroparesissyndrome,PGS)发生的高危因素。 方法 回顾分析2004年9月-2010年3月2559例腹部非胃、十二指肠术后患者的临床资料,将患者分为PGS组和非PGS组,其中PGS组23例,非PGS组2536例。 结果 比较PGS组和非PGS组间年龄、性别、术后开始进食时间、手术持续时间、是否为肿瘤晚期、有无贫血低蛋白血症、既往有无腹部手术史、术后早期有无营养支持等因素,χ2值分别为19.687、0.018、0.346、48.243、21.801、16.803、24.679、0.870,P值分别是0.05、>0.05、0.05。 结论 年龄>65岁、手术持续时间>4h、肿瘤晚期、既往有腹部手术史及贫血低蛋白血症是腹部非胃、十二指肠手术后PGS发生的高危因素。【Abstract】 Objective Toanalyzetheriskfactorsofpostoperativegastroparesissyndrome(PGS)afternon-gastroduodenalabdominalsurgery. Methods Weretrospectivelyanalyzedtheclinicaldataof2559patientswhounderwentnon-gastroduodenalabdominalsurgeriesinourhospitalbetweenSeptember2004andMarch2010.WedividedthemintothePGSgroupwith23patientsandthenon-PGSgroupwith2536patients. Results Bycomparingtheage,thegender,thestartingtimeofeatingaftersurgery,thedurationofsurgery,whetherthepatientshadadvancedcancer,whetheranemiaorhypoproteinemiaexisted,whetherthepatientshadahistoryofpreviousabdominalsurgery,andwhethernutritionalsupportwasprovidedearlyafteroperationbetweenthePGSgroupandthenon-PGSgroup,wefoundthatthechi-squarevaluewas19.687,0.018,0.346,48.243,21.801,16.803,24.679,0.870andthePvaluewas0.05,>0.05,0.05respectively. Conclusion Over65yearsofage,thedurationofsurgeryoverfourhours,advancedcancer,thehistoryofpreviousabdominalsurgeryandanemiaorhypoproteinemiaaretheriskfactorsofPGSafternon-gastroduodenalabdominalsurgery.

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