老年胃癌患者手术死亡的多因素回归分析  

Logistic Multivariate Regression Analysis of Death Factors for Gastric Cancer Operation in Old Patients

作　　者：王野[1] 秦宪斌[1] 葛云洁[2] 高伟[1] 刁其先[1] 赵宜仁[2] 

机构地区：[1]青岛海慈医疗集团普通外科,山东青岛266033 [2]青岛市立医院,山东青岛266011

出　　处：《中国误诊学杂志》2004年第5期644-645,共2页Chinese Journal of Misdiagnostics

摘　　要：目的 :探讨老年胃癌患者手术后死亡的原因。方法 :用 L ogistic逐步回归分析可能引起老年胃癌患者手术后死亡的 12种危险因素。结果 :L ogistic回归分析显示 :引起老年胃癌患者手术后死亡有 5种危险因素 ,按强弱依次为联合脏器切除、心脏病、低蛋白血症、全胃切除及慢性阻塞性肺病 (P<0 .0 5 )。结论 :术前伴有心脏病、慢性阻塞性肺病、低蛋白血症以及术中行全胃切除、联合脏器切除是导致老年胃癌患者手术后死亡的重要因素 。Objective:To study the death factors for gastric cancer operation in old patients. Methods:Twelve death factors for gastric cancer operation were analyzed using logistic multivariate regression analysis step by step in old patients who underwent curative resection.Result:Logistic regression analysis revealed that there were five significant factors for postoperative death in such sequence from strongness to weakness as multi-evisceration, cardiac disease, hypoproteinemia, total gastrectomy, chronic obstructive pulmonary disease (P<0.05). Conclusion:Complications of cardiac disease, hypoproteinemia, chronic obstructive pulmonary disease, total gastrectomy and multi-evisceration before operation could be dangerous death factors for gastric cancer operation in old patients, which should be treated carefully.

关 键 词：胃肿瘤/死亡率 死亡原因 手术后并发症 

分 类 号：R735.2[医药卫生—肿瘤]