The Journal of Practical Medicine ›› 2021, Vol. 37 ›› Issue (19): 2506-2512.doi: 10.3969/j.issn.1006⁃5725.2021.19.015

• Clinical Research • Previous Articles     Next Articles

Postoperative changes of colonic function and hemodynamics in patients with redundant colon syndrome complicated with high altitude polycythemia

HUANG Guoqiang*,WEI Xiaowei,YEXIE Zhihua.   

  1. Department of General Surgury,Qinghai Provincal People′s Hospital,Xi′ning 810007,China 

  • Online:2021-10-10 Published:2021-10-10
  • Contact: HUANG Guoqiang E⁃mail:305437646@qq.com

Abstract:

Objective To investigate the effects of laparoscopic and open colon surgery on gastrointestinal function recovery and human hemodynamic changes in patients of redundant colon syndrome with HAPC in plateau area. Methods A retrospective analysisof clinical data of 360 surgery patients with redundant colon syndrome from September 2016 to December 2020 was conducted. The patients complicated with HAPC were selected as the HAPC⁃ complicated group,and those without HAPC as HAPC ⁃free group,with 180 cases in each group. Blood routine blood coagulation function,blood loss during operation,recovery time of gastrointestinal function,occurrence of postoperative complications and hemodynamics indexes of 2 groups were compared before and after operation. Result RBC,hemoglobin,RBC volume and fibrinogen degradation product(P ⁃FDP)of the HAPC ⁃complicated group(1 d after admission,2 d,3 d and 7 d after operation)were significantly different from those of the HAPC⁃free group(P < 0.05). Postoperative oxygen saturation,recovery time of gastrointestinal function,occurrence of postoper⁃ ative complications and postoperative hospitalization time in HAPC⁃complicated group were all higher(longer)than the HAPC⁃free group,showing statistical significance(P < 0.01). The difference of mean arterial pressure(MAP and heart rate(HR)before and after operation in the HAPC⁃complicated group were greater or higher than those in the HAPC⁃free group,and the difference was statistically significant(P < 0.05). Conclusion The postoperative intestinal recovery time of patients with redundant colon combined with hypererythema is slower than that of patients without hypererythema,and there is a higher chance of postoperative complications,decreased arterial oxygen saturation,significantly increased postoperative heart rate,and greater changes in human hemodynamics after surgery. Therefore,early preoperative diagnosis,active surgical intervention and active monitoring of hemodynamic changes are the keys to reduce the incidence of postoperative complications and mortality in HAPC patients.

Key words:

redundant colon syndrome, HAPC, hemodynamics, surgery