摘要
目的探究高龄肺癌围手术期呼吸并发症的相关危险因素,探讨其对肺癌手术安全性的预测价值,以指导临床高龄肺癌患者的围手术期治疗。方法随机选取我院在2006年3月至2010年8月接受肺癌手术治疗的老年肺癌患者共60例进行回顾性分析,对其术后呼吸并发症进行统计,并于可能与术后并发症相关的因素进行单因素和多因素logistic回归分析。结果本研究患者共28例出现呼吸系统并发症,3人死亡,单因素和多因素分析结果显示年龄≥70岁、合并重要器官基础疾病、全肺切除、FEV1/FVC<70%、吸烟指数≥400支/年肺癌患者手术围术期发生呼吸系统并发症的危险因素。结论对高龄肺癌患者术前评估以上相关危险因素,可初步预测患者呼吸系统并发症发生情况,对患者围手术期的治疗有重要临床指导意义。
Objective To investigate the age of perioperative respiratory complications of lung cancer related risk factors,to explore the safety of surgery for lung cancer,the predictive value of elderly lung cancer patients to guide clinical perioperative treatment.Methods Randomly selected hospital in March 2006 to 2010 received in August of lung cancer surgery in elderly lung cancer patients with a total of 60 patients were retrospectively analyzed for their statistical postoperative respiratory complications,and may be associated with postoperative complications in factors associated with univariate and multivariate logistic regression analysis.Results In this study,a total of 28 cases of patients with respiratory complications,three people were killed,univariate and multivariate analysis showed that age≥70 years of age,underlying diseases combined vital organs,pneumonectomy,FEV1/FVC70%,smoking Index≥400 cigarettes / in lung cancer surgery perioperative risk factors for respiratory complications.Conclusion The preoperative evaluation of elderly patients with lung cancer risk factors above,can predict the initial occurrence of respiratory complications in patients,the perioperative treatment of patients has important significance.
出处
《中国医药指南》
2011年第31期24-25,共2页
Guide of China Medicine
关键词
高龄
肺癌
围手术期
呼吸并发症
危险因素
Age
Lung cancer
Perioperative
Respiratory complications
Risk factors
