腹部手术后肺并发症的临床分析

Factors Related to Postoperative Pulmonary Complication after Abdominal Operation: 193 Cases Report

目的探讨腹部手术后肺并发症的影响因素。方法 193例腹部手术患者分为肺并发症组和无肺并发症组,比较两组患者的年龄、吸烟史、手术时间、手术部位、术前肺功能指标,监测术前及术后血气分析。结果共有29例发生肺并发症。肺并发症组患者平均年龄高于无肺并发症组,手术时间长于无肺并发症组(P<0.05)。吸烟,术前第1秒用力呼气量(FEV1%)、FEV1/用力肺活量(FVC)%、最大通气量(MVV%)异常者术后发生肺并发症的危险性增加(P<0.05)。两组患者动脉血气分析指标有显著性差异(P<0.05)。结论年龄、吸烟史、手术时间、术前肺功能异常可能是腹部手术患者发生术后肺并发症的危险因素,加强术后血气分析监测有着重要临床意义。

Objective To investigate the related factors of postoperative pulmonary complications with abdominal operation. Methods 193 cases after abdominal operation were reviewed. The age, smoking history, surgery duration, surgical site, pulmonary function, artery blood gas analysis, and the incidence of post-operative pulmonary complications were analyzed. Results Pulmonary complications were found in 29 cases. The age was higher and surgery duration was longer in patients with pulmonary complications than those without pulmonary complications （P〈0,05）. The patients with abnormal forced expiratory volume in the first second （FEV1）%, FEV1/forced vital capacity （FVC）%, maximum ventilatory volume （MVV）% and smoking history before operation were in higher risk for post-operative pulmonary complications （P〈0.05）. There was significant difference in artery blood gas analysis between the 2 groups （P〈0.05）. Conclusion The age, smoking history, surgery duration and pulmonary dysfunction may be the risk factors of pulmonary complications after abdominal operation, while it is important to monitor the blood gas analysis.