老年患者肠癌术后延迟出院影响因素分析  

Analysis of influencing factors on delayed discharge of elderly patients with colon cancer after surgery

作　　者：胡育邦 刘景 廖汉全 龚婷 HU Yu-bang;LIU Jing;LIAO Han-quan;GONG Ting(Department of Anesthesiology,Shenzhen Hospital of Southern Medical University,Shenzhen 518000,China;The Third Clinical College of Southern Medical University,Guangzhou 510000,China;Department of Anesthesiology,The Eighth Affiliated Hospital,Sun Yat-sen University,Shenzhen 518000,China)

机构地区：[1]南方医科大学深圳医院麻醉科,广东深圳518000 [2]南方医科大学第三临床学院,广东广州510000 [3]中山大学附属第八医院麻醉科,广东深圳518000

出　　处：《临床军医杂志》2024年第12期1249-1253,共5页Clinical Journal of Medical Officers

基　　金：国家自然科学基金青年项目(882002087)。

摘　　要：目的探讨老年患者肠癌术后住院时间的影响因素。方法选取自2022年1月至2024年8月于中山大学附属第八医院接受肠癌手术的106例老年患者为研究对象。根据住院时间将患者分为快速出院组(术后7 d内出院;n=36)和延迟出院组(术后12 d以上出院;n=70)。比较两组患者一般资料、术中数据、术后住院时间。采用单因素及多因素Logistic回归分析探讨患者延迟出院及快速出院的影响因素。结果延迟出院组患者的术前白细胞、术前血糖、术前天冬氨酸转氨酶水平、手术时间、糖尿病比例、冠心病比例高于快速出院组,术前血红蛋白水平低于快速出院组,两组比较,差异有统计学意义(P<0.05)。多因素Logistic回归分析结果显示,术前血红蛋白水平和手术时间是患者快速出院的独立影响因素(P<0.05);手术时间、术前血红蛋白水平、冠心病是延迟出院的独立影响因素(P<0.05)。结论维持老年患者术前较高的血红蛋白水平,以及缩短手术时间,有助于肠癌手术后快速出院;而术前患有冠心病的老年患者,随着手术时间的延长,更容易发生延迟出院。Objective To explore the influencing factors of hospitalization days for elderly patients after colorectal cancer surgery.Methods A total of 106 elderly patients who underwent intestinal cancer surgery in The Eighth Affiliated Hospital,Sun Yat-sen University from January 2022 to August 2024 were selected as the study objects.According to the length of hospital stay,the patients were divided into rapid discharge group(discharge within 7 days after surgery,n=36)and delayed discharge group(discharged more than 12 days after surgery,n=70).The general data,intraoperative data and postoperative hospital stay were compared between the two groups.Univariate and multivariate Logistic regression analysis was used to explore the influencing factors of delayed discharge and rapid discharge.Results The preoperative white blood cells,preoperative blood glucose,preoperative aspartate aminotransferase levels,operative time,incidence of diabetes and incidence of coronary heart disease in the delayed discharge group were higher than those in the rapid discharge group,and the preoperative hemoglobin level was lower than those in the rapid discharge group,with statistical significance(P<0.05).The results of multivariate Logistic regression analysis showed that preoperative hemoglobin level and operation time were independent influencing factors for rapid discharge of patients(P<0.05).Operation time,preoperative hemoglobin level and coronary heart disease were the independent influencing factors for delayed discharge(P<0.05).Conclusion Maintaining high preoperative hemoglobin levels and shortening surgical time in elderly patients can facilitate rapid discharge after colorectal cancer surgery.Elderly patients with coronary heart disease before surgery are more prone to delayed discharge as the surgery time prolongs.

关 键 词：肠癌手术 术后住院时间 快速出院 延迟出院 老年 

分 类 号：R614.2[医药卫生—麻醉学]