食管贲门癌术后胃排空障碍的影响因素  

Influencing factors of delayed gastric emptying after esophagogastrostomy

作　　者：李前进 董永辉 赵福岩 LI Qian-jin;DONG Yong-hui;ZHAO Fu-yan(Department of General Surgery,Xi'an Central Hospital,China Railway First Bureau Group,Xi'an 710054,Shaanxi,CHINA)

机构地区：[1]中铁一局集团西安中心医院普外科,陕西西安710054

出　　处：《海南医学》2020年第20期2674-2676,共3页Hainan Medical Journal

摘　　要：目的分析食管贲门癌术后胃排空障碍的相关因素,为患者术后恢复提供指导。方法选取2018年1月至2019年1月期间中铁一局集团西安中心医院普外科收治的50例食管贲门癌术后发生胃排空障碍患者作为观察组,并选取同期食管贲门癌术后无胃排空障碍患者50例作为对照组。采用单因素分析和Logistic回归分析的方法对食管贲门癌术后发生胃排空障碍的影响因素进行统计学分析。结果单因素分析结果显示,食管贲门癌术后发生胃排空障碍与补液量多、术后应用镇痛泵、失血量多、手术切口长、居住农村、不良心理状态、营养不良、受教育时间短、体质指数高和年龄大等因素有关(P<0.05),而与性别无关(P>0.05);多因素Logistic回归分析结果显示,年龄大、不良心理反应、手术时间长和营养不良是食管贲门癌术后发生胃排空障碍的独立危险因素(P<0.05)。结论食管贲门癌术后发生胃排空障碍患者与年龄、手术时间、营养不良、不良心理状态因素有关。Objective To analyze the related factors of delayed gastric emptying after esophagogastric cancer surgery,so as to provide guidance for postoperative recovery.Methods A total of 50 patients with delayed gastric emptying after esophagogastric cancer surgery,who admitted to Department of General Surgery,Xi'an Central Hospital,China Railway First Bureau Group from January 2018 to January 2019,were selected as the observation group,and 50 patients without gastric emptying disorder after esophageal and cardiac cancer surgery were selected as the control group.Univariate analysis and logistic regression analysis were used to analyze the influencing factors of delayed gastric emptying after esophagogastric cancer surgery.Results Univariate analysis showed that gastric emptying disorder after esophagogastric cancer surgery was related to the amount of fluid infusion,postoperative analgesia pump,blood loss,long surgical incision,living in rural areas,poor psychological status,malnutrition,short education time,high body mass index and age(all P<0.05),but showed no significant correlation with gender(P>0.05).Multivariate logistic regression analysis showed that age,adverse psychological reaction,long operation time and malnutrition were independent risk factors of gastric emptying disorder after esophagogastric cancer surgery(all P<0.05).Conclusion The patients with delayed gastric emptying after esophagogastric cancer surgery are related to age,operation time,malnutrition and poor psychological state.

关 键 词：食管贲门癌 胃排空障碍 危险因素 营养不良 体质量指数 

分 类 号：R735.1[医药卫生—肿瘤]