摘要
目的分析泌尿外科腹腔镜术后患者胃肠功能恢复的影响因素。方法选择2016年1月-12月在本院泌尿外科一病区接受腹腔镜手术治疗的386例患者作为研究对象,对患者年龄、性别、体质量指数、既往腹部手术史、术前长期毒麻药服用史、术前长期甾体类药物使用史、术前白蛋白、术前住院时间、腹腔镜入路方式、手术时间、气腹时间、失血量、术后血红蛋白最低值、血红蛋白下降值、术后钾最低值、术后平均钾值、术后平均钙值、术后平均镁值、术后下床时间和进水时间等进行单因素、多因素分析,探讨术后患者胃肠功能恢复的影响因素。结果单因素分析表明,手术时间、气腹时间、术中出血量、术后下床活动及进水时间与患者术后胃肠功能恢复有关(P均<0.05);多因素分析结果显示,术后下床活动及进水时间是影响患者术后胃肠功能恢复的独立危险因素(P均<0.05)。结论下床活动时间和进水时间是泌尿外科腹腔镜术后患者胃肠功能恢复的独立影响因素。
Objective To analyze the risk factors of postoperative ileus after urological laparoscopic surgery. Methods From January to December in 2016, 386 patients who had undergone laparoscopic surgery in No.1 department of urology, Chinese PLA General Hospital were included, factors such as age, sex, BMI, abdominal surgery history, long term use of toxic anesthetics and steroid drugs before surgery, preoperative albumin, hospital stay before surgery, operative approach, operating time, duration of pneumoperitoneum, blood loss, minimum of postoperative hemoglobin, decrease of hemoglobin, minimum of post-operative potassium, mean of post-operative potassium, mean of post-operative potassium calcium, mean of post-operative magnesium, time of ambulation and time to first drink, were retrospectively analyzed by univariate and multivariate analysis to identify the risk factors related to the recovery of the gastrointestinal function. Results Univariate analysis indicated that operating time, duration of pneumoperitoneum, blood loss, time of ambulation and time to first drink were related to the occurrence of gastrointestinal dysfunction after urologic laparoscopic surgery（All P〈0.05）. Multivariate logistic regression analysis showed that time of ambulation and time to first drink were the independent influencing factors related to the recovery of gastrointestinal function（All P〈0.05）. Conclusion Time of ambulation and time to first drink are independent influencing factors that influence the recovery of gastrointestinal function after urological laparoscopic surgery.
出处
《解放军医学院学报》
CAS
2017年第10期954-956,共3页
Academic Journal of Chinese PLA Medical School
基金
部委级资助项目
解放军总医院临床科研扶持基金(2013FC-TSYS-3003)
关键词
腹腔镜
胃肠功能障碍
泌尿外科
laparoscopy
gastrointestinal dysfunction
urology
