实用临床医药杂志2026，Vol.30Issue(5)：88-94,102,8.DOI:10.7619/jcmp.20255638
老年胃肠道肿瘤患者术后恢复质量变化轨迹及影响因素分析
Analysis of the trajectories and influencing factors of changes in the quality of postoperative recovery in elderly patients with gastrointestinal tumors
摘要
Abstract
Objective To analyze the trajectories and influencing factors of changes in the quality of postoperative recovery in elderly patients with gastrointestinal tumors.Methods Elderly patients with gastrointestinal tumors were selected as the study subjects,and their clinical data were collected.The 15-item Quality of Recovery scale was used to investigate the quality of recovery before surgeiy,and at 7 days,1 month,3 months and 6 months after surgeiy.Latent class growth modeling was employed to identify latent classes of trajectories of changes in the quality of postoperative recovery.Unordered multinomial logistic regression was used to screen the influencing factors of the trajectories of changes in the quality of postoperative recovery in elderly patients with gastrointestinal tumors.Results A total of 230 patients completed this study.The trajectories of changes in the quality of postoperative re-covery in elderly patients with gastrointestinal tumors exhibited three latent classes,namely rapid in-crease with high recovery quality(37.39％),slow increase with moderate recovery quality(46.52％),and fluctuating increase with low recovery quality(16.09％).Unordered multinomial lo-gistic regression analysis revealed that blood loss ≥100 mL,hypoproteinemia,low hemoglobin levels,high postoperative frailty scores,low health literacy levels,prolonged postoperative hospital stays,and the occurrence of postoperative complications during hospitalization were independent influencing factors for the transition from"rapid increase with high recovery quality"to"slow increase with moderate recovery quality"in elderly patients with gastrointestinal tumors(P＜0.05);hypopro-teinemia,high postoperative frailty scores,prolonged postoperative hospital stays,the occurrence of postoperative complications during hospitalization,and readmission for gastrointestinal diseases with-in 6 months after surgery were independent influencing factors for the transition from"rapid increase with high recovery quality"to"fluctuating increase with low recovery quality"in elderly patients with gastrointestinal tumors(P＜0.05).Conclusion The quality of postoperative recovery in eld-erly patients with gastrointestinal tumors demonstrates three developmental trajectories,with signifi-cant population heterogeneity in the initial level and rate of change in recovery quality.关键词
老年人/胃肠道肿瘤/术后恢复质量/变化轨迹/影响因素/潜类别增长模型/纵向研究/群体异质性Key words
the elderly/gastrointestinal tumors/quality of postoperative recovery/trajectories of change/influencing factors/latent class growth modeling/longitudinal study/population hetero-geneity分类
医药卫生引用本文复制引用
李佳佳,石芳,王秀芝,王梅..老年胃肠道肿瘤患者术后恢复质量变化轨迹及影响因素分析[J].实用临床医药杂志,2026,30(5):88-94,102,8.基金项目
安徽省医疗卫生重点专科建设项目(皖卫函[2021]273号) （皖卫函[2021]273号）
