摘要
目的应用改良POSSUM评分系统对预测老年胃癌患者术后并发症发生率的作用。方法根据老年胃癌患者特点,改良POSSUM评分系统中脉率、手术种类、手术范围及恶性肿瘤等四项进行替换,预测117例老年胃癌患者术后并发症的发生率,比较并发症的实际发生率与理论预测率。结果117例患者实际并发症发生率为29.91%(35例),理论预测发生率为19.65%(23例),并发症的实际发生率和理论预测率比较差异无统计学意义(χ2=3.301,P=0.069)。实际并发症组与无并发症组的生理学评分和手术侵袭度评分比较差异有统计学意义(P<0.05)。结论改良POSSUM评分系统可较好地预测老年患者胃癌术后并发症的发生率。
Objective To investigate the clinical value of modified POSSUM surgical scoring system in evaluating the morbidity of elderly patients after gastrectomy. Methods Replaced some indexs of POSSUM, such as pulse rate, type of surgery, surgical scope and degree of malignant And then used the modified POSSUM system to forecast the complication of 117 elderly patients after gastrectomy. Results the actual complication rate were 29. 91% （35 cases）, the forecast morbidity rate were 19. 65% （23 cases）, compared with the two groups, morbidity showed no Statistical significance （X2 = 3. 301,P = 0. 069）, while the score of actual complication case compared with the no complication showed statistical significance （ P 〈 0. 05 ）. Conclusion The modified POSSUM surgical scoring system can evaluate and predict the prognosis of the elderly patients after gastrectomy.
出处
《中国实用医药》
2010年第3期34-36,共3页
China Practical Medicine
关键词
老年胃癌
改良POSSUM评分系统
并发症
Elderly patients of gastric cancer
Modified POSSUM surgical scoring system
Complication
