全胃切除术后消化道重建对生活质量的影响  

Impact of digestive tract reconstruction after total gastrectomy survey on quality of life

作　　者：李邓松[1] 郑树武[1] 刘金炎[1] 

机构地区：[1]广东省潮州市中心医院普外一科,521000

出　　处：《齐齐哈尔医学院学报》2013年第13期1946-1947,共2页Journal of Qiqihar Medical University

摘　　要：目的探讨全胃切除术后不同消化道重建对生活质量影响。方法选择2011年2月至2012年2月间来我院实施全胃切除术的200例胃癌患者,所有患者行全胃切除术后随机将其分为PRY组100例和mPJIP组100例,记录两组患者的手术时间、手术并发症及营养学指标检测,以此评价消化道重建对患者术后生活质量的影响。结果与PRY组比较,mPJIP组手术并发症、死亡比率、进食次数及GSRS评分均较低,体重变化、总蛋白、预后营养指数、进食量均上升,差异有统计学意义(P<0.05或P<0.01);两组手术时间、白蛋白、血红蛋白比较,差异不具有显著性(P>0.05)。结论 mPJIP可降低全胃切除术后并发症的发生率及死亡率,提高患者的生活质量,是胃切除术较为理想的消化道重建方式,值得临床推广。Objective To explore the total gastrectomy different digestive tract reconstruction on quality of life.Methods From February,2011 to February,2012,200 cases of total gastrectomy patients with gastric cancer underwent total gastrectomy randomly were divided into the PRY groups（100 cases） and mPJIP of group（100 cases）,record operation time of the two groups of patients,detection of surgical complications and nutrition indicators in order to evaluate the of gastrointestinal reconstruction of the quality of life of patients.Results PRY group comparison mPJIP group of surgical complications,mortality ratio,feeding times and GSRS rated lower,weight change,total protein,prognostic nutritional index,eating volume increased,the difference was statistically significant（P0.05 or P0.01）;the two surgical time,albumin,hemoglobin comparison,the difference was not significant（P0.05）.Conclusions mPJIP can reduce the incidence and mortality of total gastrectomy complications and improve the patient＇s quality of life,is the gastrectomy ideal digestive tract reconstruction,worthy of promotion.

关 键 词：mPJIP术 PRY术 全胃切除术 比较 

分 类 号：R656.610.5[医药卫生—外科学]