Clinical Analysis Of Related Factors Effect On The Low Serum Albumin Level After Partial Hepatectomy

Objective: Analysis of postoperative Hepatic Tumor clinical factors lead to decreased serum albumin level,And implement effective interventions for postoperative serum albumin level,to prevent the postoperative hypoalbuminemia.Method: A retrospective collection from jannuary 2013 to december 2015 in our hospital,210 cases of Hepatectomy in patients with liver tumor,All cases had been admitted to the 1th day,1th day after the operation,7 or 8 days after operation of liver biochemical examination,Admitted to the 1th day,1th day after the surgery,and postoperative serum albumin test results for 7 or 8 days as a preoperative,postoperative early,middle and late postoperative serum albumin levels.The preoperative,postoperative early,middle and late postoperative serum albumin level and change as a testing variable.In various clinical factors as the grouping variable.The various clinical including: gender,age,whether diabetes,whether cirrhosis of the liver,preoperative nutritional status,tumor size,surgery involved scope,surgical methods,whether blocking hepatic portal,whetherpostoperative application of human serum albumin,whether the application of parenteral nutrition and postoperative complications.Comparative use of two independent samples T test,Rate chi-square examination,univariate linear correlation and multivariate regression analysis.Result: Grouped by nutritional status,preoperative serum albumin level difference between two groups had significant difference;By nutritional status,whether preoperative serum albumin level,ascites,infection group,two groups of Early Postoperative serum albumin level statistical differences;By nutritional status,whether preoperative serum albumin level,involving the hepatic segment range,whether the interruption of hepatic portal ascites,infection group,Two groups of Early Postoperative changes of serum albumin level difference was statistically significant;By preoperative serum albumin level,whether diabetes,while grouping of ascites after the surgery,infection group,two groups of late postoperative serum albumin level differences are statistically significant;Grouped by whether the application of human serum albumin,two groups of late postoperative changes of serum albumin level differences are statistically significant;Grouped by whether the application of human serum albumin,two groups of late postoperative changes of serum albumin level differences are statistically significant.Regression Analysis showed that :Nutritional status,liver cirrhosis,age,is the effect of preoperative serum albumin level of independence risk factors;Value of preoperative Serum Albumin,tumor size,operation time,whether the interruption of hepatic portal is the Effect of Early Postoperative serum albumin level of independence risk factors;Value of preoperative Serum Albumin,tumor size,operation time,whether the interruption of hepatic portal is the Effect of Early Postoperative changes of serum albumin level of independence risk factors;Value of preoperative Serum Albumin,ascites,diabetes is the Effect of Late Postoperative serum albumin level of independence risk factors;whether the application of human serum albumin,ascites,operation time,value of preoperative serum albumin,whether the interruption of hepatic portal,diabetes is the Effect of Late Postoperative changes of serum albumin level of independence risk factors.Conclusion: Preoperative level of serum albumin,operation time,blocking hepatic portal is the important factor of effecting postoperativechanges of serum albumin levels and postoperativeof serum albumin in different stages.Improving preoperative level of albumin,reducing surgery after time,cautious interruption of hepatic portal helps control blood albumin levels.Operation time can be used as a reliable indicator to measure the degree of trauma,Tumor size,scope of operations was the factorsinfluencing operation time.Application of human serum albumin could increaseserum albumin level better.The albumin level growing often occurred after endothelial cells to repair.Human Serum Albumin and closely related to the repair feature.ascites,infection is influencing factors of late postoperative serum albumin levels.Hypoproteinemia in early postoperative is the risk factors that happe ascites,infection.Age,liver cirrhosis,nutritional status effect Preoperative levels of albumin.Increasing nutrition can improve the preoperative serum albumin level More or less.