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中华普外科手术学杂志(电子版) ›› 2019, Vol. 13 ›› Issue (04) : 376 -378. doi: 10.3877/cma.j.issn.1674-3946.2019.04.017

所属专题: 文献

论著

PG-SGA评分对结肠癌患者根治术后并发症的预测价值
文红梅1, 舒同1,(), 张海英1, 李培越2   
  1. 1. 636000 四川巴中,四川省巴中市中医院外科
    2. 635099 四川达州,四川省达州市中心医院普外科
  • 收稿日期:2018-10-29 出版日期:2019-08-26
  • 通信作者: 舒同

Predictive value of PG-SGA score for postoperative complications in patients with colon cancer

Hongmei Wen1, Tong Shu1,(), Haiying Zhang1, Peiyue Li2   

  1. 1. Department of surgery, Bazhong city traditional Chinese Medicine Hospital, Sichuan 636000, China
    2. General surgery, Dazhou city Central Hospital, Sichuan 635099, China
  • Received:2018-10-29 Published:2019-08-26
  • Corresponding author: Tong Shu
  • About author:
    Corresponding author: Shu Tong, Email:
  • Supported by:
    Basic Research Project of Sichuan Health and Planning Commission(17003202)
引用本文:

文红梅, 舒同, 张海英, 李培越. PG-SGA评分对结肠癌患者根治术后并发症的预测价值[J/OL]. 中华普外科手术学杂志(电子版), 2019, 13(04): 376-378.

Hongmei Wen, Tong Shu, Haiying Zhang, Peiyue Li. Predictive value of PG-SGA score for postoperative complications in patients with colon cancer[J/OL]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2019, 13(04): 376-378.

目的

探究PG-SGA评分对结肠癌患者根治术后并发症的预测价值。

方法

回顾分析2014年6月至2018年12月接受手术治疗的200例结肠癌患者临床资料,采用PG-SGA评分对所有患者进行术前营养状况评价,按照有无营养风险分为营养正常组(PG-SGA评分≥4,112例)和营养不良组(PG-SGA评分<4,88例),采用SPSS19.0软件对数据进行统计学分析。围手术期各项指标等计量资料行(±s)表示,组间行独立t检验,术后并发症行χ2检验或Fisher确切概率法,P<0.05时差异具有统计学意义。

结果

两组患者在性别、年龄、病变部位、ASA评分、分化程度、TNM分期、肿瘤大小和病理类型方面差异无统计学意义(P>0.05);营养正常组患者住院时间和住院费用明显少于于营养不良组(P<0.05);术后并发症发生率为8.0%明显低于营养不良组32.9%,差异具有统计学意义(χ2=6.98, P<0.05)。

结论

PG-SGA评分<4的结肠癌患者术后并发症的发生率较高,值得临床重视。

Objective

To explore the value of PG-SGA score in predicting postoperative complications in patients with colon cancer.

Methods

The clinical data of 200 patients with colon cancer underwent surgical treatment from June 2014 to December 2018 were retrospectively analyzed. The preoperative nutritional status of all patients were evaluated with PG-SGA score. According to the nutritional risk, they were divided into normal nutrition group (PG-SGA score ≥ 4, 112 cases) and malnutrition group (PG-SGA score < 4, 88 cases). Statistical analysis were performed by using SPSS 19.0 software. Measurement data, such as perioperative indicators were expressed as (±s), and were examined by using independent t test. Count data such as incidence of postoperative complication rate and general data were examined by chi square test or Fisher exact probability method. A P value <0.05 was considered as statistically significant difference.

Results

There was no significant difference between the two groups in terms of sex, age, lesion location, ASA score, differentiation, TNM stage, tumor size and pathological type (P>0.05). The duration of hospitalization and the cost of hospitalization of the patients in the normal nutrition group were significantly less than those in the malnutrition group respectively (P<0.05). The incidence of postoperative complications in the normal group was significantly lower than that in the malnutrition group (8.04% vs 32.95%, P<0.05).

Conclusion

The risk factors of postoperative complications in colon cancer patients with PG-SGA score < 4 are high, which deserves clinical attention.

表1 200例结肠癌患者不同PG-SGA评分组患者一般资料比较表(例)
表2 200例结肠癌患者不同PG-SGA评分组患者手术及术后恢复情况比较(±s)
表3 200例结肠癌患者不同PG-SGA评分组患者和并发症发生率比较(例)
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