本文選題：胃癌術(shù)后 + 胃腸道功能��； 參考：《廣西醫(yī)科大學(xué)》2017年碩士論文

【摘要】：目的:探討影響胃癌患者行根治術(shù)后影響早期胃腸道功能恢復(fù)的相關(guān)因素,指導(dǎo)臨床治療。方法:選取2012年1月至2016年12月在廣西醫(yī)科大學(xué)第一附屬醫(yī)院胃腸腺體外科行胃癌D2根治術(shù)患者651例,采用單因素及多因素分析,檢驗各影響因素與術(shù)后首次肛門排氣時間的相關(guān)性。結(jié)果:(1)單因素分析顯示不同年齡組、手術(shù)方式、出血量、輸血量、手術(shù)時間的排氣時間分布差異具有統(tǒng)計學(xué)意義(P0.05),而其他指標(biāo)間的排氣時間分布差異均無統(tǒng)計學(xué)意義(P0.05);(2)多因素分析顯示開放手術(shù)者、術(shù)中出血量大者、高齡患者術(shù)后肛門排氣時間越長,差異有統(tǒng)計學(xué)意義(P0.05);(3)術(shù)后首次肛門排氣時間與圍手術(shù)期血紅蛋白水平無顯著相關(guān)(P0.05)。結(jié)論:手術(shù)方式、術(shù)中出血量、年齡影響胃癌根治術(shù)后早期胃腸道功能恢復(fù)。胃癌患者圍手術(shù)期血紅蛋白水平≥70g/L時均不影響術(shù)后胃腸道功能早期恢復(fù)。
[Abstract]:Objective: to investigate the factors influencing the early recovery of gastrointestinal function after radical resection in patients with gastric cancer and to guide the clinical treatment. Methods: from January 2012 to December 2016, 651 patients with gastric cancer underwent D2 radical gastrectomy in the first affiliated Hospital of Guangxi Medical University. The correlation between the influencing factors and the first anal exhaust time after operation was examined. Results single factor analysis showed that different age groups, operation methods, blood loss, blood transfusion, There was significant difference in the distribution of exhaust time between operation time (P 0.05), but there was no significant difference in exhaust time (P 0.05) among other indexes. Multivariate analysis showed that the patients with open operation had large amount of blood loss during operation. There was no significant correlation between the first anal exhaust time and the hemoglobin level in perioperative period. Conclusion: operation mode, intraoperative bleeding volume and age affect the early recovery of gastrointestinal function after radical gastrectomy. The perioperative hemoglobin level 鈮，

本文編號：1946378