摘要
目的:观察并评价中医诊断信息在预测胸外科手术后肺部感染中的作用与意义。方法:对胸外科手术后217例患者进行肺部感染的判定,采集中医诊断信息,观察其对于胸外科手术后肺部感染患者的预测价值。结果:(1)共39例患者发生术后肺部感染,占总体患者17.9%(39/217),其中发生肺部真菌感染者2例(2/39,5.12%),肺部感染严重需要呼吸机辅助呼吸者2例(2/39,5.12%);(2)对接受胸外科手术患者的15项中医诊断信息进行Logistic回归模型的观察,发现在术后痰液性状、痰液量、舌苔、脉象可以作为胸外科手术后肺部感染患者的预测指标。结论:中医诊断信息可提供胸外科手术后肺部感染的预警信息,提供有益的补充。
Objective:To observe and evaluate the role and significance of diagnostic information by Traditional Chinese Medicine(TCM)in predicting Post Thoracotomy Pulmonary Infection(PTPI).Methods:217 patients were diagnosed with PTPI after thoracic surgery,and the diagnostic information of TCM was collected to observe its predictive value for the patients.Results:(1)A total of 39 patients were diagnosed for PTPI after thoracic surgery(17.9%,39/217),with pulmonary fungal infection in 2 patients(2/39/5.12%)and severe PTPI requiring ventilator support(2/39/5.12%)in 2 patients;(2)Logistic regression model was used to observe the 15 TCM diagnostic information,and it was found that the characteristics of sputum,amount of sputum,tongue coating and pulse condition after surgery could be used to predictive PTPI.Conclusion:The diagnostic information by(TCM)can provide early warning information of PTPI and provide beneficial supplement.
作者
侯勇
王允
刘丹
魏强
昝自亮
曹伯雄
HOU Yong;WANG Yun;LIU Dan(Diision of Thoracic Surgery,West China Airport Hospital of Sichuan University,Chengdu Sichuan 610200,China;Dirision of Thorucic Surgery,West China Hospital of Sichuan University,Chengdu Sichuan 610041,China;Department of the First Surgery,Traditional Chinese Medicine Hospital of Anyue County,Anyue Sichuan 642350,China)
出处
《四川中医》
2021年第4期57-61,共5页
Journal of Sichuan of Traditional Chinese Medicine
基金
国家重点研发计划(编号:2017YFC0113502)
成都市科技局科技惠民研发项目(编号:2015-HM0100060-SF)。
关键词
中医
诊断信息
胸外科手术
肺部感染
Diagnostic information
Traditional Chinese medicine
Thoracotomy
Pulmonary infection
