肺癌手术患者术后肺部并发症发生危险因素分析及干预对策

Risk factors of postoperative pulmonary complications in patients with lung cancer surgery and intervention measures

目的探讨肺癌手术患者术后肺部并发症(Postoperative Pulmonary Complications,PPC)发生的危险因素,并制定预防PPC的干预对策,降低PPC发生风险。方法选取2013年1月~2017年11月行手术治疗肺癌患者298例。收集一般资料,采用单因素分析筛选PPC发生的相关因素,将有统计学意义变量纳入多因素Logistic回归模型,分析PPC发生的危险因素,并制定干预对策。结果298例肺癌手术患者有49例发生PPC,发生率为16.44%。老年、慢性阻塞性肺病、吸烟、肿瘤pN分期及呼吸功能锻炼依从性差均是PPC发生的独立危险因素。结论肺癌手术患者PPC的发生与老年、COPD、吸烟、肿瘤PN分期及呼吸功能锻炼,依从性差有关,对这些因素须引起重视,须制定相应干预对策,降低PPC发生风险,改善患者预后。

Objective To explore the risk factors of postoperative pulmonary complications (PPC) in patients with lung cancer surgery, and to formulate intervention countermeasures to prevent PPC and reduce the risk of PPC. Methods A total of 298 cases of lung cancer patients who underwent surgical treatment from January 2013 to November 2017 were selected.General data were collected, univariate analysis was used to screen the related factors of PPC occurrence, and statistically significant variables were included in the multivariate Logistic regression model to analyze the risk factors of PPC occurrence and formulate intervention countermeasures. Results PPC occurred in 49 of 298 lung cancer patients who underwent surgery, and the the incidence was 16.44%.Elderly patients, chronic obstructive pulmonary disease(COPD), smoking, pN stage of tumor, poor respiratory exercise compliance were all independent risk factors for PPC. Conclusion The occurrence of PPC in lung cancer surgery patients is related to the elderly, COPD, smoking, pN stage of tumor and respiratory function exercise, and poor compliance.Attention should be paid to these factors, and corresponding intervention strategies should be formulated to reduce the risk of PPC and improve the prognosis of patients.