摘要
目的探讨不同体重指数结直肠肿瘤手术患者早期预后的差异。方法我院2007年1月至2011年12月住院择期手术的结直肠肿瘤患者224例,根据体重指数分为偏瘦组、正常组、超重组,比较各组术后早期预后指标及术后并发症发生率。结果首次下床活动时间、首次排气时间、早期经口进食时间3组间差异无统计学意义(P>0.05),术后住院天数正常组短于偏瘦组和超重组,差异均有统计学意义(P<0.05);3组患者术后并发症发生率差异有统计学意义(P<0.05),其中超重组术后并发症发生率高于偏瘦组及正常组,组间差异有统计学意义(P>0.05);并发症类型方面超重组肺部感染、伤口感染、吻合口漏发生率较高。结论不同体重指数结直肠肿瘤手术患者手术预后情况存在差异,其中超重组术后康复较正常体重组与偏瘦组差,且具有更高的术后并发症发生率。
Objective To analyze the effect of body mass index on early prognosis of patients undergoing colorectal cancer sur- gery. Methods Two hundred twenty-four patients definitely diagnosed as eoloreetal cancer from January of 2009 to December of 2011 at the department of Colorectal Surgery in our hospital were retrospectively analyzed. The patients were divided into three groups accord- ing to the body mass index：less body-weight group, normal body-weight group and over body-weight groups. The early prognosis and postoperative complication rates were compared among the groups. Results There was no significant difference in the first defecation time and early oral feeding time among the three groups. However, the postoperative in-hospital time of the normal body-weight group was shorter than that of another two groups （ P 〈 0.05 ）. Moreover, there was a significant difference in post-operational complication rates among the three groups （P 〈 0. 05 ） , in which the over body-weight group had higher rate than another two groups. The lung infec- tion,wound infection and anastomotie leakage were the most post-operational complications. Conclusions The body mass index has a significant effect on the prognosis of patients undergoing eoloreetal cancer operation. The patients with over-weight have worse prognosis and higher post complication rate than those with less or normal body weight.
出处
《实用医院临床杂志》
2013年第3期87-89,共3页
Practical Journal of Clinical Medicine
关键词
体重指数
结直肠肿瘤
早期预后
术后并发症
Body mass index
Colorectal cancer
Early prognosis
Postoperative complications
