妇科患者术后低蛋白血症的影响因素分析  

Analysis of influencing factors of postoperative hypoalbuminemia in gynecological patients

作　　者：陈建[1] 姚琦敏 杨爱菊 高晨[1] 范学雄 何海新[1] CHEN Jian;YAO Qimin;YANG Aiju;GAO Chen;FAN Xuexiong;HE Haixin(Surgical Department of Gynecological Oncology,Fujian Cancer Hospital,Clinical Oncology School of Fujian Medical University,Fuzhou,Fujian350014,China)

机构地区：[1]福建医科大学肿瘤临床医学院,福建省肿瘤医院妇科肿瘤外科,福州350014 [2]福建江夏学院 [3]福兴妇产医院妇产科

出　　处：《福建医药杂志》2023年第1期12-15,共4页Fujian Medical Journal

摘　　要：目的 探讨妇科患者术后低蛋白血症的影响因素。方法 回顾性分析我科2021年8月至2022年2月收治的186例妇科手术患者的临床资料,探讨妇科手术患者术后低蛋白血症的发生情况及影响因素。结果 妇科患者术后低蛋白血症的发生率为25.3%。多因素Logistic回归分析显示:肿瘤良恶性、术中出血、术前清蛋白水平是妇科患者术后发生低蛋白血症的独立影响因素(P<0.05)。结论 术前对营养不良患者及早干预、营养支持,术中细致操作、减少出血,有望降低术后低蛋白血症的发生率,改善妇科患者的预后。Objective To investigate the influencing factors of postoperative hypoalbuminemia in gynecological patients.Methods The clinical data of 186 patients undergoing gynecological surgery in our department from August 2021 to February 2022 were analyzed retrospectively to explore the occurrence and influencing factors of hypoproteinemia after surgery.Results The incidence of postoperative hypoalbuminemia in gynecological patients was 25.3%.Binary Logistic regression analysis showed that the independent influencing factors of hypoalbuminemia in gynecological patients include benign or malignant tumor, intraoperative bleeding and preoperative albumin level(P<0.05).Conclusion Early intervention, nutritional support, careful operation during operation and reduction of bleeding for patients with malnutrition before operation are expected to reduce the incidence of postoperative hypoalbuminemia and improve the prognosis of gynecological patients.

关 键 词：妇科手术 低蛋白血症 影响因素 

分 类 号：R713[医药卫生—妇产科学]