摘要
目的：探讨P型空肠袢代胃术对胃癌患者胃切除后消化道重建术后生存质量的影响。方法：统计分析2012年5月-2014年5月我院收治的75例胃癌患者的临床资料。P型空肠袢代胃术组（P组,50例）和Lahey＋Braun吻合术组（L组,25例）。运用统计学软件SPSS21.0,分析不同手术方法两组患者的术中、术后情况,两组患者的机体恢复情况和两组患者的生存质量。分别用率和（x±s）表示计数资料和计量资料,用χ2和t检验组间比较。对上述数据进行统计学处理时检验水准α=0.05。结果：P组患者的手术时间（245.5±18.9）min较对照组短（261.6±20.5）min,（t=4.303,P〈0.05）,术中出血量明显比L组少（t=3.182,P〈0.05）;疼痛发生率、复发率、死亡率为8%（4/50）、2%（1/50）、6%（3/50）均明显比L组16%（4/25）、8%（2/50）、16%（4/25）低（P〈0.05）。两组差异均有统计学意义;P组患者进食量〉300g/d、进食次数〈5次/d的发生率84.0%（42/50）、64.0%（32/50）均明显比L组60.0%（15/25）、28.0%（7/25）高（χ2=11.14,12.83,P〈0.05）,体质量增加幅度明显比L组大（t=2.776,P〈0.05）,两组差异均有统计学意义;P组患者的并发症发生率10%（5/50）明显比L组20%（5/25）低（P〈0.05）,两组差异均有统计学意义;P组患者的活动能力、健康感受、生活感受、日常生活评分及Spitzer指数总分均明显比L组高（P〈0.05）,两组差异均有统计学意义;但两组患者的家庭支持评分之间的差异不显著（P〉0.05）。结论：P型空肠袢代胃术能够显著提升胃癌患者胃切除后消化道重建术后的生存质量。
Objective： To investigate the impact of P-type jejunal loop gastric surgery on the quality of life of gastric cancer patients who received digestive tract reconstruction after gastrectomy.Methods：The clinical data 75 cases of gastric cancer patients in our hospital from May 2012 to May 2014 were statistically analyzed.Jejunal loop on behalf of the P-type gastric surgery group（P group,50 cases） and Lahey ＋ Braun anastomosis group（L group,25 cases）.Different groups of patients surgical postoperative cases,the patient＇s body two groups of patients recovery and quality of life were analyzed by statistical software SPSS 21.0. Denote the count data and measurement data rate（x±s）,comparison between χ2 and t test groups.On the above data processing for statistical significance level α = 0.05.Results：P group of patients with operative time（245.5±18.9） min was shorter than the control group（261.6±20.5） min,（t=4.303,P〈0.05）,blood loss was significantly less than the L group（t=3.182,P〈0.05）;incidence of pain,relapse rate, mortality 8%（4/50）, 2%（1/50）, 6%（3/50） were significantly lower than the group L 16%（4/25）, 8%（2/50）, 16%（4/25）（P〈0.05）.There were significant differences between the two groups;intake of patients in group Pincidence of 300 g/d,eating frequency 5 times/d of 84.0%（42/50）, 64.0%（32/50） were significantly higher than group L 60.0%（15/25）, 28.0%（7/25） high（χ2=11.14,12.83, P〈0.05）,the rate of increase of body weight was significantly greater than group L（t=2.776,P〈0.05）, the difference was statistically significant;complication rate of of the group P 10%（5/50） was significantly lower than the L group 20%（5/25）（P〈0.05）,the difference was statistically significant;the activity,healthy feelings,life experience,daily life scores and Spitzer Index scores of P group were significantly higher than the L group（P〈0.05）,the differences were statistically significant;between the two groups of patients,but family support ratings the difference was not significant（P〈0.05）.Conclusion：P-type jejunal loop gastric surgery can significantly improve the quality of life of gastric cancer patients who received digestive tract reconstruction after gastrectomy.
出处
《中国医药导刊》
2015年第10期997-999,1002,共4页
Chinese Journal of Medicinal Guide
关键词
P型空肠袢代胃术
胃癌
胃切除后消化道重建术
生存质量
影响
P-type jejunal loop gastric surgery
Gastric cancer
Digestive tract reconstruction after gastrectomy
Quality of life
Impact
