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首页> 外文会议>2012 IEEE International Conference on Bioinformatics and Biomedicine Workshops. >The assessment on influencing factors for postoperative recovery of gastrointestinal function based on the gynecological abdominal surgery
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The assessment on influencing factors for postoperative recovery of gastrointestinal function based on the gynecological abdominal surgery

机译：基于妇科腹部手术的胃肠功能术后恢复影响因素评估

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The purpose of this work is to assess the influencing factors for postoperative recovery of gastrointestinal function measured mainly by clinical epidemiology research and prospective study. The study subjects are those patients who visited Guangdong Provincial Hospital of Chinese Medicine and finished the gynecological abdominal surgery from Mar. 2011 to Dec. 2011. The patients who met the standard were asked to fill the Case Report Form and then analyzed by Kaplan-Meier method and COX Proportional Hazard Model. The result shows that the influencing factors for postoperative recovery of gastrointestinal function include the details of the patients such as the age, defecation habits, surgical approach, preoperative only-liquid-food time, fasting and drink-deprivation time, preoperative cleansing and enema, preoperative TCM syndromes, anesthesia method, duration of anesthesia, surgery time, blood loss during the surgery, insertion time of the abdominal cavity drainage tube and urinary catheter, postoperative analgesia-pump type, time to begin semi-liquid diet after surgery, postoperative serum potassium level, postoperative hemoglobin level, postoperative leukocyte level and postoperative fever. Moreover, the independent factors contain the age, surgical approach and the time to begin semi-liquid diet after operation. It indicates that the gastrointestinal-function of the patients are not conducive to recover for their older age, the later time to begin semi-liquid diet after surgery and the chosen approach of open surgery. Therefore, we conclude that the peri-operative taken-means such as laparoscopic surgery and the early use of semi-liquid food after operation are more effective to the gastrointestinal-function recovery of the patients with gynecological abdominal surgery based on the principles of rapid and minimally invasive rehabilitation. The study attempts to provide a clinical reference for active intervention of the gastrointestinal-function recovery of pa- ients with gynecological abdominal surgery.
机译：这项工作的目的是评估主要通过临床流行病学研究和前瞻性研究测量的胃肠功能术后恢复的影响因素。研究对象为2011年3月至2011年12月去广东省中医院进行妇科腹部手术的患者。要求符合标准的患者填写病例报告表，然后由Kaplan-Meier进行分析。方法和COX比例危害模型。结果表明，影响患者术后胃肠功能恢复的因素包括患者的年龄，排便习惯，手术方式，术前仅流食时间，禁食和禁酒时间，术前清洁和灌肠等细节。术前中医证候，麻醉方法，麻醉时间，手术时间，手术中失血量，腹腔引流管和导尿管的插入时间，术后镇痛泵类型，术后开始半流质饮食的时间，术后血清钾水平，术后血红蛋白水平，术后白细胞水平和术后发烧。此外，独立的因素包括年龄，手术方式和术后开始半流质饮食的时间。这表明患者的胃肠功能不利于他们的年龄，手术后较晚开始半流质饮食的时间以及开放手术的选择。因此，我们得出结论，根据快速，准确的原则，腹腔镜手术等围手术期采取的措施以及术后早期使用半流质食品对妇科腹部手术患者的胃肠功能恢复更为有效。微创康复。该研究试图为妇科腹部手术患者的胃肠功能恢复的积极干预提供临床参考。

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