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目的 探讨胃癌术后胃瘫综合征(Postsurgicalgastroparesissyndrome,PGS)发生的危险因素和防治方法.方法回顾性分析我院327例行胃癌根治手术患者的临床资料,以发生PGS的危险因素为自变量进行回归分析.结果 327例患者中有29例发生PGS,发生率为887%;PGS发生与血红蛋白、术前幽门梗阻和血清白蛋白、术后腹腔感染和血糖水平密切相关(P<005),29例患者经过积极非手术治疗后均痊愈出院.结论 PGS发生的危险因素包括患者术前自身因素及术后腹腔感染、血糖水平,于围手术期针对相关因素予以积极干预,可能有效预防PGS发生.
Objective To investigate the risk factors and prevention and treatment of postsurgical gastroparesis syndrome (PGS) in patients with gastric cancer.Methods The clinical data of 327 patients with radical surgery of gastric cancer in our hospital were retrospectively analyzed. The risk factors of PGS were used as independent variables Results The PGS occurred in 29 of 327 patients (887%). The incidence of PGS was closely related to hemoglobin, preoperative pyloric obstruction and serum albumin, postoperative abdominal infection and blood glucose (P < The patients were cured after active non-surgical treatment.Conclusion The risk factors of PGS include preoperative self-factors and postoperative abdominal infection and blood glucose levels, and actively intervention for related factors in perioperative period may prevent PGS effectively.