上腹部手术后肺部并发症的临床分析

Clinical analysis of epigastrium surgery on postoperative pulmonary complications

目的评价上腹部手术对术后肺部并发症的影响。方法选择60例行上腹部手术的慢阻肺患者为观察组,另选择同时期60例行上腹部手术治疗的非慢阻肺患者作为对照组,比较两组患者术后并发症发生情况。结果观察组的并发症发生率高于对照组(P<0.05);肺功能分级重度、极重度患者术后并发症发生率高于轻度、中度患者(P<0.05)。结论术前肺功能检查对上腹部手术慢阻肺患者术后肺部并发症具有较高的临床预测价值,对预防医患纠纷积极意义。

Objective To analyze the impact of epigastrium surgery on postoperative pulmonary complications. Methods The study selected 60 COPD cases received epigastrium surgery as observation group and 60 non- COPD cases received epigastrium surgery as the control group. The postoperative complications were compared between the two groups. Results The incidence of complications was higher in the observation group than in the control group （ P 〈 0. 05 ） , and it was more serious in the severe and extreme group than in the mild and moderate group according to their lung function classification （ P 〈 0. 05 ） . Conclusion Preoperative pulmonary function examination has high clinical predictive value on postoperative pulmonary complications in COPD patients received epigastrium surgery, which has positive significance to preventing the doctorpatient dispute.