Risk factors associated with stress ulcer bleeding in postoperative rectal cancer patients / 中华胃肠外科杂志
Chinese Journal of Gastrointestinal Surgery
; (12): 1277-1281, 2012.
Article
en Zh
| WPRIM
| ID: wpr-312307
Biblioteca responsable:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To explore the influence factor of stress ulcer bleeding(SUB) in postoperative rectal cancer patients.</p><p><b>METHODS</b>Clinical data of rectal cancer patients undergoing operation in our hospital were analyzed retrospectively. Patients were divided into case group and control group according to the postoperative occurrence of SUB. Univariate analysis combined with multivariate analysis were used to evaluate the influence factors.</p><p><b>RESULTS</b>Chronic diseases incidence of case group was higher than that of control group. Except for renal failure, the incidence of postoperative complications of case group was higher than that of control group. Univariate analysis revealed that age, chronic disease, preoperative, and postoperative complications had statistical significant differences(P<0.05). Multivariate analysis identified that age(OR=2.893, 95%CI:1.118-5.543), drinking history(OR=3.839, 95%CI:1.012-6.654), preoperative chronic disease(OR=4.646, 95%CI:1.872-8.892), intraoperative bleeding volume(OR=5.129, 95%CI:2.829-9.328), occurrence of severe complications after surgery(OR=6.576, 95%CI:4.539-13.278), postoperative application of glucocorticoid(OR=2.978, 95%CI:1.013-4.512), preoperative application of non-steroidal anti-inflammatory drugs(OR=2.126, 95%CI:1.287-7.636) were risk factors for SUB in rectal cancer patients after operation. Postoperative prophylactic use antacids(OR=0.102, 95%CI:0.017-0.196) was protective factor for SUB patients.</p><p><b>CONCLUSION</b>Effective measures should be taken for high-risk patients, in order to improve the prognosis of patients.</p>
Texto completo:
1
Base de datos:
WPRIM
Asunto principal:
Complicaciones Posoperatorias
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Periodo Posoperatorio
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Pronóstico
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Neoplasias del Recto
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Cirugía General
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Úlcera
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Incidencia
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Análisis Multivariante
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Estudios Retrospectivos
/
Factores de Riesgo
Tipo de estudio:
Etiology_studies
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Incidence_studies
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Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Humans
Idioma:
Zh
Revista:
Chinese Journal of Gastrointestinal Surgery
Año:
2012
Tipo del documento:
Article