Analysis Of Risk Factors For Gastrectomy Gastroparesis Syndrome And Clinical Treatment

Objective Analysis of gastroparesis syndrome factors and clinical measures to prevention and treatment of postoperative gastroparesis syndrome provides favorable clinical reference.Methods 368 patients were studied which performed gastrectomy surgery in our hospital gastrointestinal surgery from January 2012 to January 2015. According to whether the incidence of postoperative gastroparesis syndrome group, gastroparesis patients classified as observation group, no patients with gastroparesis designated as the control group. The former may be induced gastroparesis syndrome, intraoperative and postoperative factors were compared and selected factors were significant differences Logistic regression analysis. Patients with postoperative gastroparesis syndrome therapy combined with comprehensive individualized treatment, evaluate its therapeutic effect.Results(1) A total of 368 cases of patients with partial gastrectomy, including 28 cases of postoperative gastroparesis syndrome, the incidence rate of 7.61%.(2) The age, poor mental preoperative pyloric obstruction, hypoalbuminemia, blood loss, gastrointestinal reconstruction, operation time, manner, timing of surgery, postoperative fluid volume, postoperative use of town postoperative pain pumps and improper eating habits of the observation group are compared to the control group, the difference was significant, with statistical significance(P <0.05); The sex, high blood pressure, anemia and surgical etiology of the observation group are compared to the control group, the difference was obvious, there was no significant(P> 0.05).(3) By logistic regression analysis showed that preoperative pyloric stenosis(OR=7.631), Billroth Ⅱreconstruction of gastrointestinal(OR=13.817), hypoalbuminemia(OR=3.465), operative time ≥4h(OR=2.583) belong gastrectomy patients induced four independent risk factor for postoperative gastroparesis syndrome, and the results were statistically significant(P<0.05).(4) After treatment, the effect of postsurgical gastroparesis syndrom have 26 cases(92.86%) reaches first standard, 2 cases(7.14%) of secondary standard, thrid standards and four standards were 0 cases(0%).Conclusion(1) There are many factors inducing postsurgical gastroparesis syndrome, but preoperative pyloric obstruction, gastrointestinal reconstruction, hypoalbum- inemia and surgical time are the most important risk factors, gastrectomy patients should be actively prevented.