胃癌患者术中急性压疮发生的影响因素  

Influencing factors of intraoperative acute pressure ulcer in patients with gastric cancer

作　　者：李慧 薄梦美 李晓君 LI Hui;BO Meng-mei;LI Xiao-jun(Operating Room,Xinyang Central Hospital,Xinyang,Henan 464000,China)

机构地区：[1]信阳市中心医院手术室,河南信阳464000

出　　处：《医药论坛杂志》2024年第21期2266-2269,2273,共5页Journal of Medical Forum

摘　　要：目的 探讨分析胃癌患者术中急性压疮的发生率及相关影响因素。方法 前瞻性观察研究来自2019年1月—2022年5月信阳市中心医院行手术治疗的230例胃癌患者,观察、记录全部患者术中急性压疮的发生情况。记录患者年龄、性别等基本资料进行研究。采用单因素分析和多因素logistic回归分析胃癌患者术中发生急性压疮的影响因素。结果 230例接受手术治疗胃癌患者中,有40例发生术中急性压疮,发生率为17.39%;单因素分析结果显示,两组的术中出血量、术前FBG水平、肿瘤直径和术前白蛋白水平比较,差异有统计学意义(P<0.05);经多因素logistic回归分析结果显示,肿瘤直径、术中出血量、血清白蛋白、FBG水平是胃癌患者术中急性压疮发生的相关影响因素(P<0.05)。结论 引起胃癌患者术中急性压疮的影响因素为肿瘤直径、术中出血量、血清白蛋白、FBG水平,应针对患者具体情况评估风险,并及时采取相对应的防治措施,加强预防,减少术中急性压疮的发生。Objective To investigate and analyze the incidence and related factors of intraoperative acute pressure ulcer in patients with gastric cancer.Methods Totally 230 patients with gastric cancer who underwent surgical treatment in the hospital from January 2019 to May 2022 were prospectively observed and studied.The occurrence of intraoperative acute pressure ulcer in all patients was observed and recorded.Record the age,sex and other basic data of patients for research.Univariate analysis and multivariate logistic regression were used to analyze the influencing factors of acute pressure ulcer in patients with gastric cancer.Results Among 230 patients with gastric cancer who underwent surgery,40 patients developed intraoperative acute pressure ulcer,with an incidence of 17.39%.Univariate analysis showed that there were statistically significant differences in intraoperative bleeding,preoperative FBG level,tumor diameter and preoperative albumin level between the two groups(P<0.05).The results of multivariate logistic regression analysis showed that tumor diameter,intraoperative bleeding,serum albumin and FBG levels were the related factors of intraoperative acute pressure ulcer in patients with gastric cancer(P<0.05).Conclusion The influencing factors of intraoperative acute pressure ulcer in patients with gastric cancer are tumor diameter,intraoperative bleeding,serum albumin and FBG level.The risk should be evaluated according to the specific situation of patients,and corresponding preventive measures should be taken in time to strengthen prevention and reduce the occurrence of intraoperative acute pressure ulcer.

关 键 词：急性压疮 胃癌 手术 影响因素 

分 类 号：R735.2[医药卫生—肿瘤]