Effects of blood glucose, blood lipids and blood pressure control on recovery of patients with gastric cancer complicated
with metabolic syndrome after radical gastrectomy

Sun,Li; Zhou,Pingping; Hua,Qingli; Jin,Changming; Guo,Chunling; Song,Bing

doi:10.3892/etm.2018.6033

June-2018 Volume 15 Issue 6

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June-2018 Volume 15 Issue 6

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Article Open Access

Effects of blood glucose, blood lipids and blood pressure control on recovery of patients with gastric cancer complicated with metabolic syndrome after radical gastrectomy

Authors:
- Li Sun
- Pingping Zhou
- Qingli Hua
- Changming Jin
- Chunling Guo
- Bing Song
View Affiliations / Copyright

Affiliations: Department of Rehabilitation, Daqing Longnan Hospital, Daqing, Heilongjiang 163001, P.R. China, Department of Neurology, Daqing Oil Field Cerebrovascular Disease Hospital, Daqing, Heilongjiang 163000, P.R. China, Department of Anesthesiology, Daqing Longnan Hospital, Daqing, Heilongjiang 163001, P.R. China, Department of Pediatrics, Daqing Longnan Hospital, Daqing, Heilongjiang 163001, P.R. China

Copyright: © Sun et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
Pages: 4785-4790
|
Published online on: April 4, 2018

https://doi.org/10.3892/etm.2018.6033
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Abstract

This study aimed to investigate the effects of blood glucose, blood lipids and blood pressure control on recovery of patients with gastric cancer complicated with metabolic syndrome (MS) after radical gastrectomy. A total of 150 patients with gastric cancer, who were treated in Daqing Longnan Hospital from November, 2015 to May, 2017, were enrolled in this study. The patients were divided into the MS group (80 cases) and non‑MS group (70 cases). Patients in the MS group were given corresponding drugs to control blood pressure, blood lipids and blood glucose, while patients in the non‑MS group were not treated with those drugs. Patients in the MS group were divided into the normal and abnormal groups according to the levels of blood glucose, blood lipids and blood pressure. Moreover, occurrences of complications were compared between the normal and abnormal groups. Before surgery, blood glucose, blood lipids and blood pressure in the MS group were significantly higher than those in the non‑MS group (p<0.05). One month after operation, blood glucose, blood lipids and blood pressure of the MS group decreased significantly compared to those before operation (p<0.05). Incidence of complications at 1 and 3 months after operation was significantly lower in the normal groups than that in the corresponding abnormal groups (p<0.05). Postoperative recovery was significantly better in the normal groups than that in the corresponding abnormal groups (p<0.05). Logistic regression analysis showed that the incidence of postoperative complications was related to fasting blood glucose, 2 h postprandial blood glucose, glycosylated hemoglobin, total triglycerides (TGs), LDL, mean blood pressure and BMI (p<0.05). The results show that, control of blood glucose, blood lipids and blood pressure in patients with gastric cancer complicated with MS after radical gastrectomy can reduce the incidence of postoperative complications and promote postoperative recovery.

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