摘要
目的分析影响食管癌术后并发肺部感染的危险因素。方法选取本院2018年3月至2019年12月收治的100例接受手术治疗的食管癌患者。统计食管癌患者术后并发肺部感染的发生情况,并分析食管癌术后并发肺部感染的相关危险因素。结果手术治疗后,共19例患者发生肺部感染,肺部感染发生率为19.00%(19/100)。并发肺部感染的患者中,年龄≥65岁、体质量≥25 kg/m2、有长期吸烟史、术前合并肺部感染、手术路径2~3个、有喉返神经损伤、合并糖尿病、术前血清白蛋白<35 g/L、单肺通气的患者占比显著高于未并发肺部感染患者(P<0.05)。多元回归性分析显示,长期吸烟史、喉返神经损伤、糖尿病、术前血清白蛋白水平及通气方式为食管癌患者术后并发肺部感染的危险因素(P<0.05)。结论导致食管癌术后并发肺部感染的危险因素较多,临床医务人员需分析患者的身体状况于围手术期开展合理的预防措施,以促进预后改善。
Objective To analyze the risk factors of postoperative pulmonary infection in patients with esophageal cancer.Methods A total of 100 patients with esophageal cancer received surgical treatment in our hospital from March 2018 to December 2019 were selected.The occurrence of postoperative pulmonary infection in patients with esophageal cancer was counted,and the related risk factors of pulmonary infection after esophageal cancer surgery were analyzed.Results After operation treatment,19 patients developed pulmonary infection,and the incidence of pulmonary infection was 19.00%(19/100).Among patients with pulmonary infection,the proportion of patients with age≥65 years,body weight≥25 kg/m2,long-term smoking history,preoperative pulmonary infection,2-3 surgical routes,recurrent laryngeal nerve injury,combined diabetes,preoperative serum albumin<35 g/L and one-lung ventilation were significantly higher than those of patients without pulmonary infection(P<0.05).Multiple regression analysis showed that long-term smoking history,recurrent laryngeal nerve injury,diabetes mellitus,preoperative serum albumin level and ventilation mode were risk factors for postoperative pulmonary infection in patients with esophageal cancer(P<0.05).Conclusion There are many risk factors leading to postoperative pulmonary infection of esophageal cancer,and clinical medical staff need to analyze the physical condition of patients and carry out reasonable preventive measures in perioperative period to promote the improvement of prognosis.
作者
魏巧妙
魏娜沙
张荣强
王博
魏秋霞
李仁廷
祝云鹤
WEI Qiaomiao;WEI Nasha;ZHANG Rongqiang;WANG Bo;WEI Qiuxia;LI Renting;ZHU Yunhe(Affiliated Hospital of Shaanxi University of Chinese Medicine,Xianyang 712000;Beilin District Center for Disease Control and Prevention,Xi'an 710000;Shaanxi University of Chinese Medicine,Xianyang 712046,China)
出处
《临床医学研究与实践》
2021年第4期34-36,共3页
Clinical Research and Practice
基金
陕西省第三届名中医(中药师)传承工作室建设项目(No.2019003)。
关键词
多元回归性分析
食管癌
术后
肺部感染
危险因素
multiple regression analysis
esophageal cancer
postoperative
pulmonary infection
risk factors
