上消化道手术术后胃瘫综合征的危险因素分析  

Risk factors for postsurgical gastroparesis syndrome after upper gastrointestinal surgery

作　　者：王志勤[1] 徐春华[1] 

机构地区：[1]上海市徐汇区中心医院普外科,200031

出　　处：《临床外科杂志》2013年第5期355-356,共2页Journal of Clinical Surgery

摘　　要：目的 了解患者在上消化道手术术后并发胃瘫综合征的危险因素.方法 对52例胃瘫患者和同期接受手术但未发生胃瘫的患者（对照组150例）的常见临床病理因素进行比较分析.结果 与对照组相比,胃瘫组胃部手术比例较高（90.4% vs 56.0%,P=0.000）,女性比例（44.2% vs 26.0%,P=0.014）和吸烟患者比例（30.8% vs 16.7%,P=0.029）较高,平均体质指数[（20.9±3.1） vs （22.5±3.3）,P=0.004]和术前血清白蛋白水平较低[（32.6±4.8）g/L vs （34.7±6.2）g/L,P=0.027],而两组患者饮酒者比例、平均血细胞计数和谷氨酸丙氨酸转换酶水平差异无统计学意义（P〉0.05）.结论 胃部手术、女性、体质指数较低、有吸烟史和术前血清白蛋白水平较低是上消化道手术术后并发胃瘫的危险因素.Objective To investigate the risk factors for postsurgical gastroparesis syndrome （PGS） after upper gastrointestinal surgery. Methods The clinicopathological factors were compared in patients with（ n = 52） or without （ control group, n = 150） PGS. Results Compared with control group, patients with PGS had higher rates of gastric surgery （ 90. 4% vs 56. 0%, P = 0. 000 ）, female gender （44.2% vs 26.0% , P = 0. 014 ） and smoking history （ 30.8 % vs 16.7 % , P = 0. 029 ） , and lower mean levels of body-mass index（20.9 -＋3.1 vs 22.5 -＋3.3 ,P =0.004） and serum albumin（32.6 ＋4.8 g/L vs 34.7 -＋ 6.2 g/L,P = 0.027 ）. The rates of drinking and the average levels of blood cell counts and alanine aminotransferase did not differ significantly between the two groups （P 〉 0.05）. Conclusion Gastric surgery,female gender, low body-mass index, smoking history, and low serum albumin are risk factors for PGS.

关 键 词：胃瘫 上消化道手术 危险因素 

分 类 号：R656.6[医药卫生—外科学]