影响原发性自发性气胸复发的因素

Influential factors of recurrence of primary spontaneous pneumothorax

目的 探讨影响原发性自发性气胸 (PSP)复发的因素。方法 对 110例PSP出院病人随访 5年 ,实际随访 98例 ,以年龄、性别、身高、体重指数 (BMI)、吸烟习惯、气胸部位以及治疗方法等作为观察项目进行分析。结果 98例PSP病人中复发 36例 ,戒烟者PSP复发率明显低于未戒烟者 (P <0 .0 5 ) ,复发组男女平均BMI均低于单发组 (P <0 .0 5 ) ,复发组男女平均身高均高于单发组 (P <0 .0 5 )。结论 戒烟、身高、BMI对PSP复发有影响 ,性别可能对PSP复发有影响 ,而年龄、气胸部位。

Objective To study the influential factors of recurrence of primary spontaneous pneumothorax(PSP).Methods 110 of discharged patients with PSP have been followed for five years. In nature 98 cases were followed, their factors of recurrence were analysed,including age,sex,height, body mass index, smoking status,initial treatment and position of penumothorax.Results 36 cases recurrence in 98 cases,the recurrent rate of smoking cessation patients was significantly lower than that of permanent smoking ones (P<0.05), the mean height of recurrent patients was higher than that of no recurrence ones (P<0.05),the mean body mass index of recurrent patients was lower than that of no recurrence ones (P<0.05).Conclustion Recurrence of PSP is subject to the influence of smoking cessation,height and BMI,it may be influenced by the sex,but it is not influenced by the mean age,the initial treatment and position of penumothorax.