肺癌术后胸腔引流时间的影响因素分析

Analysis of Influence Factors of Thoracic Drainage Time after Lung Cancer Surgery

目的探讨肺癌术后胸腔引流时间的影响因素。方法方便选取2012年1月—2016年12月该院收治的102例肺癌术后胸腔引流患者为研究对象,依引流时间不同将入选病例分为A组和B组。A组51例,引流时间≤5 d;B组51例,引流时间>5 d。回顾性分析患者临床资料,统计可能影响两组引流时间的相关因素并进行回归分析。结果 B组年龄≥60岁66.67%、单肺通气90.20%、开胸手术82.35%、胸腔粘连54.90%、淋巴清扫术≥15个31.37%、手术时间≥3 h 35.29%、术中出血量≥400 m L 62.75%,与A组比较,差异有统计学意义(P<0.05)。结论年龄60岁以上、单肺通气、开胸手术、淋巴清扫数超过15个、手术时间3 h以上是影响肺癌术后胸腔引流时间的独立因素,临床应注重制定科学治疗方案、加强患者围术期管理,以减少引流时间,促进患者早期恢复。

Objective To study the influence factors of thoracic drainage time after lung cancer surgery. Methods Convenient selection 102 cases of patients with thoracic drainage time after lung cancer surgery in our hospital from January 2012 to December 2016 were selected and divided into two groups with 51 cases in each according to the drainage time, including the group A whose drainage time ≤5 d, and group B whose drainage time >5 d, and the clinical data of patients were reviewed and the related influence factors of drainage time of the two groups was counted. Results In the group B, the age≥60 years old 66.67%, one-lung ventilation 90.20%, thoracotomy 82.35%, pleural adhesion 54.90%, lymphadenectomy≥15 31.37%, and the operation time ≥3 h 35.29% and the intraoperative bleeding amount ≥400 m L 62.75%, and the differences between the two groups were obvious(P<0.05). Conclusion The age ≥60 years old, one-lung ventilation, thoracotomy, pleural adhesion, lymphadenectomy, operation time ≥3 h are the independent influence factors of thoracic drainage time after surgery, and we should pay attention to making the scientific treatment plan and enhancing the management during the perioperative period of patients in order to reduce the drainage time and promote the early recovery of patients.