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Analysis of Risk Factors and Nursing Countermeasure of Secondary Intestinal Obstruction after Prostatectomy Gastric Cancer Radical Gastrectomy |
Tengzhou City Workers Hospital,Tengzhou 277500,China |
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Abstract Objective:To investigate the risk factors and prevention measures of secondary intestinal obstruction after prostatectomy gastric cancer radical gastrectomy.Method:471 cases of gastric cancer after radical gastrectomy in Shandong Tengzhou City workers Hospital from January 2007 to December 2013 were made retrospective analysis,including 35 cases of postoperative secondary intestinal obstruction(SIO).The secondary obstruction were selected as the dependent variable,the 17 related indicators were selected for independent variables,the non conditional Logistic regression were analyzed.Result:The results of multiple Logistic regression analysis showed:preoperative pyloric obstruction, mental tension, intraoperative Billroth II Shi Wenhe,intraoperative lymph node dissection(D3),postoperative analgesia pump after operation, blood glucose level, enteral nutrition in postoperative time,postoperative abdominal infection,anastomotic fistula were SIO risk factors(OR>1,P<0.05),peri operation period the level of hemoglobin and total protein level were the protective factor of SIO occurrence(OR<1,P<0.05).Conclusion:The SIO occurrence of gastric cancer gastrectomy has many related factors , the treatment actively job related risk factors has important significance on the treatment effect of SIO.
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