80例低肺功能老年肺癌手术患者围手术期的临床研究

The clinical study of 80 low lung function aged patients during perioperative lung cancer surgery

目的探讨低肺功能老年肺癌手术围手术期并发症发生情况及处理方案。方法将80例低肺功能老年肺癌患者随机分为2组,轻度组42例:MVV≤50%、FEV1≤45%;重度组38例:50%<MVV<80%、45%<FEV1<70%。观察两组患者术后并发症及死亡情况,探讨其围手术期处理方法。结果轻度组术后并发症发生率和死亡率为11.90%,0;重度组术后并发症发生率和死亡率为71.05%,7.89%。轻度组术后并发症发生率和死亡率明显低于重度组,组间比较有显著差异(P<0.05)。结论低肺功能检查是老年肺癌患者手术治疗的重要依据,积极的围术期准备可有效降低术后并发症的发生,临床应根据患者个体情况进行综合判断,慎重手术。

Objective To investigate the incidence of complications and treatment options of low lung function elderly patients with lung cancer during the perioperative period.Methods 80 elderly patients with low lung function in lung cancer were randomly divided into two groups,mild group has 42 patients：MVV≤50%,FEV 1 ≤45%;severe group has 38 cases：50%MVV80%, 45%FEV170%.Observed postoperative complications and death,and explore their perioperative treatment.Results The postoperative morbidity and mortality of mild group were 11.90%,0;Those of the severe group were 71.05%,7.89%,postoperative morbidity and mortality of the mild group were significantly lower than those of the severe group,which were significantly different（P0.05）.Conclusion Low pulmonary function test is an important basis for surgical treatment of lung cancer elderly patients,positive perioperative preparation can effectively reduce the incidence of postoperative complications,a comprehensive should be made based on individual clinical circumstances,and should carefully do the surgery.