术前吸入抗胆碱能药物对慢性阻塞性肺疾病患者腹部手术后肺部并发症的影响

The influence of inhalation of anticholinergic drugs preoperatively on patients with COPD regarding pulmonary complications after abdominal surgery

目的:探讨术前吸入抗胆碱能药物对慢性阻塞性肺疾病(COPD)患者腹部手术后肺部并发症的影响。方法:回顾性分析COPD腹部手术患者,按照患者术前使用抗胆碱能药物吸入情况分为两组,比较肺部并发症发生情况。结果:术前吸入抗胆碱能药物组肺部并发症发生率12.7%,低于术前未吸入抗胆碱能组的29.0%,两组比较,差异有统计学意义(P<0.05)。结论:术前吸入抗胆碱能药物可降低COPD患者腹部手术后肺部并发症发生率。

Objective To investigate the influence of inhalation of anticholinergic drugs preoperatively on patients with Chronic Obstructive Pulmonary Disease(COPD) regarding pulmonary complications after abdominal surgery.Method All of the patients with COPD after abdominal were retrospectively analyzed and were divided randomly into two groups regarding to inhaling anticholinergic drugs preoperatively or not.The incidence rates of complications after abdominal surgery were compared between those two groups. Results The incidence rates of complications after abdominal surgeryof the group who had inhaled anticholinergic drugs preoperatively were significantly lower than who had not. Conclusion Inhaling anticholinergic drugs preoperatively may reduce the incidence of the pulmonary complications after abdominal surgery in COPD patients.