摘要
目的了解胆囊切除术后综合征(PCS)的发生情况并分析其发生的危险因素,为临床预防PCS提供理论依据。方法采用回顾性分析的方法,收集2013年5月1日—2014年4月30日期间于济宁医学院附属医院肝胆外科行胆囊切除术的338例患者资料,其中316例随访成功,包括男101例,女215例。分别从血型、饮酒史、吸烟史、糖尿病史、精神焦虑、饮食倾向、有术前症状等7个方面影响因素进行电话回访收集数据,采用二分类Logistic回归分析PCS发生的影响因素。结果 316例患者中,根据PCS诊断标准,诊断为PCS者115例,发生率为36.39%。上述7项影响因素中,精神焦虑(P<0.001)、有术前症状(P=0.032)为PCS的危险因素。结论 PCS的诊断和治疗较为复杂,应以针对PCS危险因素的预防为主,注重术前沟通,对患者进行个体化分析,减少PCS的发生。
Objective To investigate the incidence and risk factors of postcholecystectomy syndrome(PCS),andprovide theoretical basis for the prevention of PCS.Methods A total of338patients with PCS were randomly selected inour hospital from May1st2013to April30th2014,in which316cases were successful followed up including101malesand215females.The data were collected from the7aspects including blood type,drinking history,smoking history,diabetes history,mental anxiety,dietary tendence and preoperative symptoms,and which were analyzed by binary-logisticregression analysis.Results According to the PCS diagnostic criteria,115patients were diagnosed with PCS(36.39%).The anxiety status and preoperative discomfort were closely related to the occurrence of PCS,with statistically significantdifference(P<0.05).Conclusion The diagnosis and treatment of PCS are more complicated.We should focus on theprevention of PCS according to its risk factors,and pay attention to preoperative communication and individualized analysisof patients in order to reduce the occurrence of PCS.
作者
冯其贞
武菲
李建军
FENG Qi-zhen;WU Fei;LI Jian-jun(Jining Medical University, Jining 272067, China)
出处
《天津医药》
CAS
2017年第8期865-868,共4页
Tianjin Medical Journal
