摘要
目的探讨肺癌患者术后并发持续性肺不张的影响因素。方法采用前瞻性分析的方式,选取2019年1月至2021年12月河南省南阳市第二人民医院胸外科收治的240例肺癌术后患者作为本次研究对象,统计肺癌术后患者并发持续性肺不张的情况。设计临床资料调查表,填写并记录肺癌术后患者的相关临床资料,采用logistic多元回归方程分析肺癌术后患者并发持续性肺不张的相关因素。结果240例肺癌术后患者中,并发持续性肺不张40例;发生组与未发生组吸烟史、麻醉方式、气管插管、术前肺功能比较,差异有统计学意义(P<0.05);两组性别、年龄、体质量指数、受教育程度、婚姻状况、职业类型、手术时间、手术方式、血红蛋白、白蛋白比较,差异无统计学意义(P>0.05);经logistic回归分析可以得出,有吸烟史、全身麻醉、气管插管、术前肺功能较差均是肺癌术后患者并发持续性肺不张的影响因素(OR>1,P<0.05)。结论有吸烟史、全身麻醉、气管插管、术前肺功能较差均是肺癌术后患者并发持续性肺不张的影响因素。
Objective To explore the related factors of postoperative persistent atelectasis in patients with lung cancer.Methods A total of 240 postoperative patients with lung cancer admitted to the Department of Thoracic Surgery of Nanyang Second General Hospital from January 2019 to December 2021 were selected as the subjects of this study by prospective analysis,and the situation of postoperative patients with lung cancer complicated with persistent atelectasis was counted.Designed the clinical data questionnaire,filled in and recorded the relevant clinical data of postoperative patients with lung cancer,and analyzed the related factors of postoperative patients with lung cancer complicated with persistent atelectasis by logistic multiple regression equation.Results Among 240 postoperative patients with lung cancer,40 cases were complicated with persistent atelectasis.There were statistical differences in smoking history,anesthesia mode,endotracheal intubation and preoperative lung function between the occurrence group and the non-occurrence group(P<0.05).There was no statistical difference between the two groups in gender,age,body mass index,education level,marital status,occupation type,operation time,operation mode,hemoglobin and albumin(P>0.05).Logistic regression analysis showed that smoking history,general anesthesia,endotracheal intubation and poor preoperative lung function were the influencing factors of persistent atelectasis in patients with lung cancer after surgery(OR>1,P<0.05).Conclusion Smoking history,general anesthesia,endotracheal intubation and poor preoperative pulmonary function are the influencing factors of persistent atelectasis in patients with lung cancer after operation.
作者
闫付庆
YAN Fuqing(Department of Thoracic Surgery,Nanyang Second General Hospital,Nanyang 473000,China)
出处
《河南医学研究》
CAS
2023年第2期286-289,共4页
Henan Medical Research
关键词
肺癌
术后并发症
持续性肺不张
相关因素
lung cancer
postoperative complication
persistent atelectasis
related factors
