腹部手术后肺部并发症危险因素分析

An Analysis of Risk Factors on Pulmonary Complications After Abdominal Operation

目的:调查分析影响腹部手术后肺部并发症的有关危险因素,降低术后肺部并发症的发生。方法:对2002年10月～2004年10月327例行腹部手术的的患者进行统计分析,调查可能导致术后肺部并发症的危险因素。结果:327例病人中有45例术后出现了肺部并发症(PPC),发生率为13.76%。年龄>60岁、有吸烟史、肥胖、慢性阻塞性肺病(COPD)、上腹部手术、手术时间长的病人术后PPC的发生率明显增高。COPD的病人术后发生PPC的相对危险度(RR)为2.77;上腹部手术发生PPC的RR为2.46。结论:腹部手术时应仔细考虑以上危险因素,加强围手术期的处理,选择合理的手术方式是降低术后肺部并发症的关键。

Objective: To investigate the relative risk factors of pulmonary complications after abdominal operation.Methods: The risk factors of pulmonary complications in 327 patients after abdominal operation from Oct. 2002 to Oct. 2004 were analyzed.Results: 45 out of 327 had PPC, the incidence rate being 13.76%.The incidence rate of PPC was significantly increased in patients with age over 60, smoking history, chronic obstructive pulmonary diseases (COPD), upper abdominal operation, longer operation time. The risk ratio of PPC for the patients with COPD was 2.77, and the risk ratio of PPC for the upper abdominal operation was 2.46.Conclusion: These risk factors should be considered carefully during surgery. To improve the management during perioperative period and choose surgical methods properly are the key factors to help to decrease the PPC rate.