标题：围手术期患者低蛋白血症与胃瘫的相关性研究

      作者：林锡汉，庄 丹，刘金炎，庄俊锋，袁炜嗣
    (南方医科大学附属潮州中心医院普外一科，广东 潮州 521000)

      卷次： 2012年23卷12期

      【摘要】 目的 探讨围手术期患者低蛋白血症与术后胃瘫的关系。方法 随机选取200例腹部手术患者，
比较术后胃瘫患者与无胃瘫患者的围手术期平均蛋白水平，分析胃瘫治疗期平均蛋白水平与胃瘫治疗时间的关
系。结果 200例患者共14例出现胃瘫，胃瘫患者围手术期平均蛋白水平为(26±3.1) g/L，186例患者围手术期平
均血清白蛋白水平为(31±6.5)g/L。胃瘫患者围手术期平均蛋白水平低于无胃瘫患者(P<0.05)。14例胃瘫患者
中，胃瘫治疗期间平均蛋白水平越高，胃瘫治疗期越短，两者呈负相关关系(r=-0.42，P<0.05)。结论 低蛋白血症
是发生PGS的危险因素，提高蛋白水平是治疗胃瘫一个关键环节。

      【关键词】 低蛋白血症；术后胃瘫综合征；危险因素

      【中图分类号】 R605 【文献标识码】 A 【文章编号】 1003—6350(2012)12—027—03<

br>Correlative study of hypoproteinemia and postsurgical gastroparesis syndrome during the perioperative period.
LIN Xi-han, ZHUANG Dan, LIU Jin-yan, ZHUANG Jun-feng, YUAN Wei-si.
The First Department of General Surgery, the
Central Hospital of Chaozhou City Affiliated to South Medical University, Chaozhou 521000, Guangdong, CHINA

【Abstract】 Objective To investigate the relationship between hypoproteinemi with postsurgical gastropare-
sis syndrome (PGS) during the perioperative period. Methods Two hundred patients accepted abdominal operations
were randomly selected. The levels of albumin during the perioperative period were compared between the PGS pa-
tients and the Non-PGS patients. The relationship of the treatment period of PGS and the average levels of albumin
were analyzed. Results Of the 200 patients, 14 were found with PGS, of which the average albumin levels during
the perioperative period was (26±3.1) g/L, lower than those of the remaining 186 patients [(31±6.5) g/L], P<0.05. The
treatment period of PGS was shorter when the average albumin level was higher, showing a negative correlation
(r=-0.42, P<0.05). Conclusion Hypoproteinemia is a risk factor of PGS. Raising the albumin level is a key point in
the treatment of PGS.

      【Key words】 Hypoproteinemia; Postsurgical gastroparesis syndrome; Risk factor
·临床研究·doi:10.3969/j.issn.1003-6350.2012.12.011