在接受胃肠癌手术的老年患者中,术后吞功能障碍的危险因素:一项回顾性队列研究
Shiori Yoshiyama1, Ryohei Kawabata2, Haruna Yamaguchi1
1Department of Rehabilitation Technology, Sakai City Medical Center, Sakai-city, 5938304, Osaka, Japan.
Surgery today
|November 19, 2025
概括
手术后吞功能障碍在老年胃肠道癌症患者中很常见,经常通过排泄改善. 老年,肉,低认知分数和手术前吞度预测了这种并发症.
科学领域:
- 老年人手术是一门老年手术.
- 在瘤学瘤学.
- 吞障碍 吞障碍 吞障碍
背景情况:
- 手术后吞功能障碍是经过胃肠癌手术的老年患者的一个重要并发症.
- 了解术后吞变化和预测因素对于管理这种不良结果至关重要.
研究的目的:
- 为了研究吞功能的术后变化.
- 在接受胃肠癌手术的老年患者中确定术后吞功能障碍的预测因子.
主要方法:
- 对170名老年患者 (≥65岁) 进行了回顾性分析,这些患者患有肉症或认知/吞问题.
- 在四个外科手术期间的时间点使用Fujishima等级评估吞功能.
- 功能障碍定义为Fujishima等级在术后1天≤7;通过后勤回归识别的预测因素.
主要成果:
- 吞功能障碍发生在37.1%的患者中,中位数在术后下降,但在放电后改善.
- 21.0%的受影响患者在出院时出现持续性功能障碍 (等级≤7).
- 独立预测因素包括75岁以上的年龄,肉,迷你精神状态检查 (MMSE) 得分≤23,以及手术前的Fujishima 8级.
结论:
- 在老年人胃肠癌手术后,吞功能暂时下降.
- 老年,肉,低MMSE得分,以及手术前的Fujishima等级8是持续的术后吞功能障碍的独立预测因素.
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