老年食管癌患者术后肺部并发症发生的危险因素分析-现代医学

老年食管癌患者术后肺部并发症发生的危险因素分析

单位：江苏省沭阳县中医院

分类号：

出版年·卷·期（页码）：2013·41·第七期（469-471）

摘要：

摘要：目的　探讨老年食管癌患者术后发生肺部并发症（PPC）的危险因素。方法　通过对我院2009年3月至2012年06月282例行食管癌根治术患者的临床资料回顾性分析，收集其术前、术中及术后相关资料与数据，统计术后各种肺部并发症，进行 Logistic 回归分析。结果：患者术后肺部并发症的发生率为 26.2%（74/282），单因素 Logistic 回归分析筛选22个相关因素，多因素分析显示年龄（OR= 1.485）、吸烟（OR=1.546）、ASA分级（OR= 2.258）、术前伴存肺部疾病（OR=1.383）、术中气管插管时间（OR= 1.210）、术后机械通气时间（OR=1.302）为发生PPC 的独立危险因素。结论：高龄、大量吸烟、ASA高评级、术前伴存肺部疾病、长时间气管插管及机械通气是老年食管癌患者术后易发生肺部并发症。

[Abstract] Objective: To investigate the risk factors for postoperative pulmonary complication (PPC) in elderly patients with esophageal cancer. Methods: 282 elderly patients after esophagectomy from March 2009 to June 2012 were retrospectively analyzed. Univariate and multivariate logistic regression analysis were used to examine the risk factors for PPCs. Results: The incidence of PPC was 26.2% (74/282). 22 factors correlated with PPC selected by univariate analysis . Multivariate logistic regression analysis indicated that age ( OR=1.485), smoking（OR=1.546），grade of ASA（OR= 2.258）, history of respiratory disease（OR=1.383）, intraoperative duration of tracheal cannula （OR= 1.210）, postoperative duration of mechanical ventilation (OR=1.939) were the independent risk factors for PPCs in elderly patients with esophageal cancer．Conclusion: The patients following esophageal cancer surgery with advanced age, excessive smoking , high rank of ASA, history of respiratory disease, long intraoperative duration of tracheal cannula, long postoperative duration of mechanical ventilation prefer to PPC.

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