학술논문

Impact on Orthostatic Hypotension the Day after Gastric Cancer Surgery on the Hospital Course / 胃癌手術における術後翌日の起立性低血圧が術後経過に及ぼす影響
Document Type
Journal Article
Source
理学療法学 / Physical Therapy Japan. 2015, 42(1):8
Subject
胃癌手術
術後経過
起立性低血圧
Language
Japanese
ISSN
0289-3770
2189-602X
Abstract
Purpose: A key element in enhanced postoperative recovery is early mobilization. However, this may be hindered by orthostatic hypotension (OH). The purpose of the present study was to assess the impact of OH the day after gastric cancer surgery to the postoperative course. Methods: A total of 211 patients who underwent elective gastrectomy for gastric cancer with perioperative physiotherapy were examined between 2004 and 2011. The subjects were compared in terms of their hospital course based on presence and absence of OH the day after surgery. Results: The time to achieve a sitting position, standing up and walking in the OH-positive group was significantly delayed compared to the OH-negative group. There were no significant differences in the postoperative complications and length of hospital stay between the patients with and without postoperative OH. Conclusion: OH on the first day after gastric cancer surgery leads to a delay in mobilization, but the incidence of postoperative complications and length of hospital stay were not significantly different between patients with and without postoperative OH.