Analysis Of Factors Of Elderly Patients With Gastric Cancer Operation Complication Affecting Thehealth Related Quality Of Life, And Its Effect On Survival Rate

Objective:To explore complication’s influence on survival rate, disease related quality of life of patients in aged patients with gastric cancer after operation, and ana lysis the risk factors of complications. Method:All sample are selected form First Affiliated Hospital of Xinjiang Medical University from March2008to May2011y ear,All senile patients are treated by operation,150cases selected as the research o bject, according to patients with postoperative complications or not sort into the com plication group and non complication group, each group set75cases,, for a period of3years of follow-up patients after discharge, using the QLQ STO22to survey d isease related quality of life. The use of Kaplan-Meier analysis of two groups after36months survival rate, using t test to analysis the quality of life for12months,24m onths,36months of disease after discharge. Results:(1) There are complications signif icantly lower survival rate than un-complicated survival rate, the difference was stati stically significant (p<0.05);(2) The elderly patients with gastric carcinoma betwee n before discharge,24months after discharge disease related quality of life between t he two groups was not statistically significant (p>0.05);(3) in elderly patients with g astric cancer after hospital discharge12months,36months, no-complications group d isease related quality of life is better than that patients with complications (p<0.05);(4) Factors affecting the occurrence of post operative complications in elderly patien ts with gastric cancer were:operation time, number of lymph node dissection, post-op erative complications, mode of operation, before the stomach cut (p<0.05). Conclusio n:(1) Without complication’s group survival rate were better than postoperative com plications group;(2) The disease related quality of in complication group at24mo nths after discharge from the hospital, and without complication group had no signifi cant difference, but there are differences between the quality of life of12months an d26months, pending further study.(3) Factors of complications include operation time, number of lymph node dissection, postoperative complications, operation way befor e. Prompt, medical staff should improve the operation technology to reduce operation t ime, as far as possible to determine the diffusion range of gastric cancer before opera tion, in order to reduce the number of lymph node dissection, for preoperative patient s, should be the prevention, in the choice of operation mode, as far as possible the el ection to laparoscopic operation. It can not only limit lower incidence of postoperative complications, but also the survival rate and disease related quality of life improve p atients.