Abstract:
Objective To investigate the epidemiological characteristics of gastric carcinoma related anemia and provide reference for clinical diagnosis and treatment.
Method Clinical data of 400 patients with gastric cancer admitted from June 2020 to June 2022 were retrospectively analyzed，and the incidence of cancer-related anemia was analyzed. The distribution of cancer-related anemia was observed. SPSS 23.0 statistical software was used to analyze the data. The measurement data of normal distribution are expressed as（
±s）and
t test is adopted. Counting data is expressed as % and tested by
χ2. Single factor analysis of cancer related anemia related factors；
Logistic regression was used in multivariate analysis to analyze the independent risk factors for cancer-related anemia，and
P<0.05 indicated statistically significant differences.
Result Among 400 patients with gastric cancer，248 developed cancer-related anemia（62.0%）. Among them，64 cases were mild，128 were moderate，32 were severe，and 24 were extremely severe. Univariate analysis showed that there were significant differences in age，TNM stage，KPS score，hypoproteinemia and whether to receive chemotherapy（P<0.05）. Multivariate logistic regression analysis showed that age >60 years，stage Ⅲ-Ⅳ，KPS score ≤60，hypoproteinemia and chemotherapy were risk factors for cancer-related anemia.
Conclusion The incidence of gastric cancer-related anemia is relatively high，mainly mild to moderate，in which age，TNM stage，KPS score，hypoproteinemia and anti-tumor therapy are risk factors for cancer-related anemia.
Key words:
Gastric Neoplasms,
Cancerassociated Anemia,
Risk Factors,
Logistic Analysis
Jing Gao, Xueqian Yan, Yueru Ji, Miaowang Hao, Cangchun Liu. High risk factors for gastric cancer patients with chronic anemia as first manifestation Logistic analysis[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2023, 17(05): 534-537.