胰十二指肠切除术后胃排空障碍危险因素的Logistic回归分析

目的 分析胰十二指肠切除术后胃排空障碍的危险因素.方法 回顾性分析中日友好医院1994年1月至2008年1月间101例胰十二指肠切除术病例,以手术后是否发生胃排空障碍为因变量,对病人临床资料进行单因素及多因素非条件Logistic回归分析.结果 该组胃排空障碍发生率为27.7%(28/101),单变量分析结果表明手术方式、术中输血量、术后血糖、术后腹腔感染、术后胰胆肠瘘发生是胃排空障碍发生的危险因素.多因素Logistic回归分析结果表明,术后腹腔感染、手术方式、术中输血量、术后高血糖是胃排空障碍发生的独立危险因素,相对危险度(OR)分别为7.892、7.071、5.882和2.882.结论 术后并发腹腔感染、PPPD术后、术中输血量多、术后高血糖病人易发生胃排空障碍.

Analysis of risk factors for functional delayed gastric emptying after pancreaticoduodenectomy with Multivariate logistic regression

Objective To study the risk factors for functional delayed gastric emptying(FDGE)after pancreaticoduodenectomy. Methods The clinical data of 101 cases undergoing pancreaticoduode-nectomy in our hospital from January 1994 to January 2008 were reviewed retrospectively. Results The incidence of FDGE was 27.7%(28/101). Univariate analysis showed PPPD,intraoperative blood transfusions,postoperative blood glucose, postoperative abdominal infection, postoperative pancreatic fistula and biliary fistula and intestinal fistula were the risk factors for gastric emptying after pancreati-coduodenectomy. Multivariate Logistic analysis regression revealed that postoperative abdominal infec-tion,PPPD,intraoperative blood transfusions,postoperative blood glucose were independent risk fac-tors(OR = 7. 892, 7. 071,5. 882 and 2. 882) of FDGE after pancreaticoduodenectomy. Conclusion Postoperative abdominal infection, PPPD, intraoperative blood transfusions, postoperative blood glu-cose can increase the incidence of FDGE.