影响消化系统恶性肿瘤术后胃瘫预后的相关因素探讨

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Abstract Objective To explore the influencing factors of prognosis of postoperative gastroparesis syndrome (PGS) in patients with digestive system malignant tumor. Methods A clinical retrospective analysis was conducted on 91 patients with PGS of digestive system malignant tumor treated in four grade A tertiary hospitals, namely, Dongfang Hospital of Beijing University of Chinese Medicine, Cancer Hospital of Chinese Academy of Medical Sciences, Chinese PLA General Hospital and Peking University People′s Hospital from January 2013 to December 2015. 51 cases of patients with PGS of digestive system malignant tumor who achieved the favorable prognosis criteria within 7 days (7 day included) were selected as observation group; and 40 cases of patients failed in reaching the favorable prognosis of gastroparesis syndrome within 14 days (14 day included) were regarded as control group. 13 relevant factors that may influence the prognosis of PGS of digestive system malignant tumor were analyzed by the adoption of single factor chi-square test and t test. Results There were no statistically significant differences in terms of patients′ age, gender, body mass index, tumor metastasis, the placement of nasogastric tube, patterns of nutrition support, serum albumin amounts three days before admitting, hypertension, coronary heart disease and diabetes(P ＞ 0.05). The hemoglobin content 3 day before admitting in the observation group was higher than that of control group, the mean gastric tube drainage 3 day before admitting in the observation group was significantly lower than that of control group, the differences were statistically significant (P ＜ 0.05). Conclusion The improvement on hemoglobin levels and the control of the gastric tube drainage in patients with PGS of digestive system malignant tumor may exert a positive effect on the improvement of patients′ prognosis and have a referential significance to the clinical treatment.

Key words： Digestive system malignant tumor Postsurgical gastroparesis syndrome Relevant factors Prognosis

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	TAN Yabin1* ZHOU Qin2* HU Ye3 YANG Ying1 FENG Baoyue1 ZUO Minghuan2

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TAN Yabin1* ZHOU Qin2* HU Ye3 YANG Ying1 FENG Baoyue1 ZUO Minghuan2. Discussion on the relevant factors influencing the prognosis of postoperative gastroparesis syndrome of digestive system malignant tumor[J]. 中国医药导报, 2019, 16(23): 98-101.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2019/V16/I23/98

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