术前肺功能检测对肺癌患者发生术后并发症的影响价值分析

Affect the value of preoperative pulmonary function testing in patients with postoperative complications of lung cancer analysis

目的研究探讨术前肺功能检测对胸部肿瘤患者发生术后并发症的影响。方法选取我院收治的肺癌患者80例作为研究对象，所有患者均行肺叶切除切除手术，并在术前对其肺功能相关指标（肺活量、用力肺活量、第1秒用力呼气容积、最大分钟通气量、肺总量以及肺功能一氧化碳弥散量等）进行检测。术后对患者的各项生命体征进行积极监测，观察其主要临床症状和常规实验室检查结果等，评估并发症的发生情况，并计算并发症发生率。结果术前检测患者的肺功能可见，基本正常、轻度减退、中度减退和重度减退的患者分别有50例、0例、18侧和12倒，各占62．5％、0、22．5％、15．0％，且随着肺功能减退，各项指标均呈逐渐降低的情况观察肺功能分级不同的患者术后并发症的发生情况可见，肺功能重度减退患者并发症的发生率显著高于中度减退患者，高于肺功能正常患者，组内比较均有统计学差异（P〈0．05）。结论胸部肿瘤的患者在术前合并肺功能异常与术后并发症的发生之间存在一定的关系，通过术前肺功能检测可以对手术风险、术后并发症发生情况进行评估和预测。

Objective To investigate the effect on breast cancer incidence of postoperative complications in patients with preop- erative pulmonary function testing. Methods Patients with lung cancer in our hospital,80 cases of the study,all patients underwent lobectomy surgery, and （vital capacity, forced vital capacity, forced expiratory volume in 1 second of its related indicators in the pre operative pulmonary function, maximum minutes ventilation, total lung capacity and pulmonary carbon monoxide diffusing capacity, etc. ） were detected. Surgery on the patient＇s vital signs Were actively monitoring,observing its main clinical symptoms and results of routine laboratory tests to assess the incidence of complications,and calculate the incidence of complications. Results The preop erative detection of lung function seen normal,mild dysfunction,patients with moderate and severe loss of appetite were 50 cases,0 cases, 18 cases and 12 eases, each with 62.5%,0,22.5% 15.0%, and with decreased lung function, the indicators showed a gradual decrease in the case of the occurrence of lung function observed different classification of postoperative complications seen in pa dents, the incidence of lung function decline in patients with severe complications was significantly higher than moderate impaired patients, higher than in patients with normal lung function, there were significant differences （P〈0.05） in the group. Conclusion In patients with breast cancer occurrence merger between preoperative and postoperative pulmonary complications in certain abnormal relationship between the assessment and prediction by preoperative pulmonary function testing may risk surgery, postoperative complications were observed.