首页|腹腔镜胃癌根治术患者术后并发症的影响因素分析

腹腔镜胃癌根治术患者术后并发症的影响因素分析

Analysis of factors affecting postoperative complications in patients undergoing laparoscopic radical gastric cancer surgery

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目的:探讨腹腔镜胃癌根治术患者术后并发症的影响因素.方法:选择于医院行腹腔镜胃癌根治术的62例胃癌患者作为研究对象,根据术后是否发生急性肾损伤和(或)急性心衰将纳入患者分为并发症发生组(20例)、未发生组(42例),利用基础资料调查问卷、相关量表等调查、评分结果,对其展开单因素分析、Logistic多因素分析.结果:Logistic回归分析结果显示,年龄、体质指数及术前夜间血压变化均为腹腔镜胃癌根治术独立危险因素(P<0.05).结论:年龄、体质指数及术前夜间血压变化均为腹腔镜胃癌根治术患者术后并发症发生独立危险因素,为降低并发症发生率,应加强患者术前夜间血压变化监测,重点关注年龄及体质指数较高患者.
Objective:Exploring the factors affecting postoperative complications in patients undergoing laparoscopic radical gastric cancer surgery.Method:A total of 62 gastric cancer patients who underwent laparoscopic radical gastrectomy in hospital were selected as the study subjects.According to whether acute kidney injury and/or acute heart failure occurred after surgery,the included patients were divided into an incidence group(n=20)and a non incidence group(n=42).The results of basic data survey questionnaires and other surveys were used to conduct univariate analysis and logistic multivariate analysis.Result:The results of logistic regression analysis showed that age,body mass index,and preoperative nighttime blood pressure changes were all independent risk factors(P<0.05).Conclusion:Age,body mass index,and preoperative nighttime blood pressure changes are independent risk factors for postoperative complications in patients undergoing laparoscopic radical gastrectomy for gastric cancer.To reduce the incidence of complications,it is necessary to strengthen preoperative nighttime blood pressure monitoring of patients,with a focus on patients with higher age and body mass index.

gastric cancerlaparoscopic radical gastrectomy for gastric cancerpreoperative nighttime blood pressurepostoperative complicationslogistic regression analysis

肖九根、陈苏维、李素芳、林子煌

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全南县人民医院 江西全南 341800

胃癌 腹腔镜胃癌根治术 术前夜间血压 术后并发症 Logistic回归分析

赣州市指导性科技计划项目

GZ2023ZSF553

2024

安徽医专学报
安徽医学高等专科学校

安徽医专学报

影响因子:0.441
ISSN:2097-0196
年,卷(期):2024.23(3)