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©The Author(s) 2018.
世界华人消化杂志. 2018-04-18; 26(11): 673-679
在线出版 2018-04-18. doi: 10.11569/wcjd.v26.i11.673
在线出版 2018-04-18. doi: 10.11569/wcjd.v26.i11.673
表1 两组患者临床资料状况对比 (n = 79)
组别 | 男/女 | 平均年龄(岁) | BMI (kg/m2) | ASA分级 | 高血压 | 糖尿病 | 冠心病 | |
Ⅰ、Ⅱ级 | Ⅲ级 | |||||||
观察组 | 42/37 | 62.18 ± 7.29 | 23.85 ± 3.19 | 63 | 16 | 25 | 28 | 12 |
对照组 | 40/39 | 61.23 ± 7.42 | 23.41 ± 3.37 | 65 | 14 | 23 | 30 | 10 |
t/χ2 | 1.083 | 2.117 | 0.963 | 1.227 | 2.194 | 0.864 | 1.005 | 1.273 |
P | >0.05 | >0.05 | >0.05 | >0.05 | >0.05 | >0.05 | >0.05 | >0.05 |
表2 患者手术中及手术后相关指标状况对比 (n = 79)
组别 | 手术时间(分) | 出血量(mL) | DVT发生例数 | 排气时间(d) | 住院时间(d) | 术后并发症 | |||
肺部感染 | 切口感染 | 泌尿系感染 | 吻合口瘘 | ||||||
观察组 | 209.47 ± 30.17 | 300.18 ± 50.29 | 26 | 2.07 ± 0.38 | 7.06 ± 1.18 | 1 | 2 | 1 | 2 |
对照组 | 174.33 ± 30.29 | 379.45 ± 50.49 | 15 | 3.39 ± 0.41 | 8.49 ± 1.23 | 4 | 5 | 3 | 4 |
t/χ2 | 13.057 | 1.468 | 10.446 | 11.732 | 12.086 | 11.552 | |||
P | <0.05 | >0.05 | <0.05 | <0.05 | <0.05 | <0.05 |
表3 两组患者围手术期凝血功能改变状况对比 (n = 79)
组别 | DD (mg/L) | PT (s) | TT (s) | APTT (s) | |
观察组 | 术前 | 1.29 ± 0.25 | 11.19 ± 0.86 | 17.59 ± 1.06 | 30.23 ± 2.68 |
术后1 d | 1.77 ± 0.23a | 12.94 ± 0.88a | 17.02 ± 1.10 | 26.28 ± 2.54a | |
术后3 d | 2.30 ± 0.45a | 11.75 ± 0.90 | 17.06 ± 1.33 | 27.69 ± 2.55 | |
术后5 d | 2.28 ± 0.46a | 11.38 ± 0.85 | 17.69 ± 1.28 | 29.71 ± 2.64 | |
F | 13.066 | 12.375 | 1.462 | 11.790 | |
P | <0.05 | <0.05 | >0.05 | <0.05 | |
对照组 | 术前 | 1.29 ± 0.27 | 11.48 ± 0.82 | 17.35 ± 1.16 | 30.05 ± 2.48 |
术后1 d | 1.49 ± 0.26 | 11.75 ± 0.90 | 17.13 ± 1.20 | 30.99 ± 2.51 | |
术后3 d | 1.68 ± 0.42 | 11.68 ± 0.87 | 17.29 ± 1.31 | 31.20 ± 2.49 | |
术后5 d | 1.70 ± 0.41 | 11.36 ± 0.91 | 17.75 ± 1.26 | 30.01 ± 2.64 | |
F | 0.986 | 1.473 | 1.005 | 0.887 | |
P | >0.05 | >0.05 | >0.05 | >0.05 |
表4 两组患者围手术期内血栓弹力图参数状况对比 (n = 79)
组别 | MA (mm) | R (分) | α (degree) | K (分) | |
观察组 | 术前 | 63.80 ± 6.52 | 6.06 ± 1.20 | 60.20 ± 4.29 | 1.70 ± 0.58 |
术后1 d | 69.68 ± 6.48a | 5.77 ± 1.26 | 70.02 ± 4.33a | 1.75 ± 0.55 | |
术后3 d | 70.51 ± 6.41a | 5.81 ± 1.21 | 70.71 ± 4.47a | 1.69 ± 0.59 | |
术后5 d | 72.03 ± 6.89a | 5.99 ± 1.19 | 73.08 ± 4.25a | 1.71 ± 0.51 | |
F | 13.571 | 1.297 | 12.308 | 0.972 | |
P | <0.05 | >0.05 | <0.05 | >0.05 | |
对照组 | 术前 | 64.48 ± 6.27 | 6.19 ± 1.14 | 61.09 ± 4.18 | 1.79 ± 0.60 |
术后1 d | 65.97 ± 6.15 | 6.15 ± 1.18 | 65.69 ± 4.22 | 1.81 ± 0.57 | |
术后3 d | 67.02 ± 6.31 | 6.04 ± 1.08 | 67.48 ± 4.36 | 1.82 ± 0.51 | |
术后5 d | 69.60 ± 6.47 | 6.09 ± 1.30 | 68.98 ± 4.51 | 1.73 ± 0.49 | |
F | 11.455 | 1.305 | 11.007 | 1.334 | |
P | <0.05 | >0.05 | <0.05 | >0.05 |
表5 都胃肠道肿瘤术后患者DVT高危因素分析 n (%)
项目 | DVT (n = 41) | 非DVT (n = 117) | χ2 | P |
年龄(岁) | 10.894 | <0.05 | ||
<60 | 9 (21.95) | 67 (57.26) | ||
≥60 | 32 (78.05) | 50 (42.74) | ||
吸烟 | 11.753 | <0.05 | ||
是 | 21 (51.22) | 27 (23.08) | ||
否 | 20 (48.78) | 90 (76.92 | ||
ASA分级 | 12.074 | <0.05 | ||
Ⅰ、Ⅱ级 | 25 (60.98) | 103 (80.47) | ||
Ⅲ级 | 16 (39.02) | 14 (10.93) | ||
肿瘤分期 | 10.963 | <0.05 | ||
1、2期 | 20 (48.78) | 91 (77.78) | ||
3期 | 21 (51.22) | 26 (22.22) | ||
高血压 | 14.268 | <0.05 | ||
是 | 22 (53.66) | 88 (75.21) | ||
否 | 19 (46.34) | 29 (24.79) |
引文著录: 吴贵阳, 叶甫波, 陈国平. 胃肠道恶性肿瘤腹腔镜手术对下肢深静脉血栓形成的临床分析. 世界华人消化杂志 2018; 26(11): 673-679