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  

Retrospective Clinical Analysis of Risk Factors of Postoperative Gastroparesis Syndrome after Abdominal Surgery excluding Gastroduodenal Operations

作　　者：丁思勤[1] 汪振亮[1] 张华洲[1] 王铎[1] 郭平学 杨自华[1] 

机构地区：[1]西安医学院第二附属医院普外科,西安710038

出　　处：《华西医学》2011年第4期532-534,共3页West China Medical Journal

摘　　要：目的探讨腹部非胃、十二指肠手术后胃瘫综合征(postoperative gastroparesis syndrome,PGS)发生的高危因素。方法回顾分析2004年9月2010年3月2 559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2 536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:<0.01、>0.05、>0.05、<0.01、<0.01、<0.01、<0.01、>0.05。结论年龄>65岁、手术持续时间>4 h、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。Objective To analyze the risk factors of postoperative gastroparesis syndrome（PGS） after non-gastroduodenal abdominal surgery.Methods We retrospectively analyzed the clinical data of 2 559 patients who underwent non-gastroduodenal abdominal surgeries in our hospital between September 2004 and March 2010.We divided them into the PGS group with 23 patients and the non-PGS group with 2 536 patients.Results By comparing the age,the gender,the starting time of eating after surgery,the duration of surgery,whether the patients had advanced cancer,whether anemia or hypoproteinemia existed,whether the patients had a history of previous abdominal surgery,and whether nutritional support was provided early after operation between the PGS group and the non-PGS group,we found that the chi-square value was 19.687,0.018,0.346,48.243,21.801,16.803,24.679,0.870 and the P value was0.01,0.05,0.05,0.01,0.01,0.01,0.01,0.05 respectively.Conclusion Over 65 years of age,the duration of surgery over four hours,advanced cancer,the history of previous abdominal surgery and anemia or hypoproteinemia are the risk factors of PGS after non-gastroduodenal abdominal surgery.

关 键 词：手术 胃瘫 高危因素 

分 类 号：R656[医药卫生—外科学] R619[医药卫生—临床医学]