摘要
目的分析导致胃大部切除术后出现胃瘫的相关因素,并总结探讨有效的防治对策。方法采用单因素分析方法和非条件多因素Logistic回归分析37例术后胃瘫综合征(postsurgical gasrtoparesis syndrome,PGS)患者和687例无PGS患者的影响因素。结果 PGS患者和无PGS患者在年龄、基础性疾病、术前幽门梗阻、精神因素、手术时机、胃空肠吻合方式、手术时间、术中出血量、应用自控镇痛泵、日补液量和肠内营养时间等方面比较差异有统计学意义(P<0.05);经多因素Logistic回归分析显示,基础性疾病、B-Ⅱ式、手术时间长和精神因素为PGS的危险因素。结论根据上述危险因素制定有效防治措施可降低PGS的发生率。
Objective To analyze the related factors of gastroplegia resulted from subtotal gastrectomy and summarize some effective countermeasures. Methods Effective factors of post surgical gastroparesis syndrome （PGS）were analyzed by using a single factor test and non-conditional Logistic regression analysis on 37 patients with PGS and 687 cases without PGS. Results There were significant differences in patient age, underlying disease, preoperative pylorie obstruction, psychological factors, timing of surgery, gastroje- junostomy, surgical time, blood loss, application-controlled analgesia pump, daily volume of fluid infusion and time of enteral nutrition between the patients with and without PGS （ P 〈 0. 05 ）. The non-conditional Logistic regression analysis showed that underlying disease, B-II type, operation time and psychological factors were the risk factors for PGS. Conclusion Development of effective control measures based on the risk factors described above can significantly reduce the incidence of PGS.
出处
《实用医院临床杂志》
2014年第2期133-135,共3页
Practical Journal of Clinical Medicine
关键词
胃大部切除术
胃瘫
因素
防治对策
Gastreetomy
Gastroplegia
Factors
Countermeasures
