影响肺癌患者术后胸腔引流时间的相关因素分析

Analysis of Related Factors Affecting Postoperative Thoracic Drainage Time in Lung Cancer Patients

目的探讨影响肺癌患者术后胸腔引流时间的相关影响因素。方法选取行手术治疗的103例肺癌患者为研究对象,按术后胸腔引流时间将其分为A组51例患者(引流时间≤5 d)与B组52例患者(引流时间>5 d)。分析影响肺癌患者术后胸腔引流时间的相关因素。结果单因素分析显示:性别、糖尿病、高血压、肺结核病史、引流管数量与术后胸腔引流时间无关(P>0.05);而年龄、手术方式、术中出血量、淋巴结清扫总数、通气方式、手术时间、胸腔粘连与肺癌患者术后胸腔引流时间有关(P<0.05);多因素分析显示:年龄≥60岁、开胸手术、术中出血量≥400 ml、淋巴结清扫数≥15枚、单肺通气、手术时间≥180 min、胸腔有粘连是肺癌患者术后胸腔引流时间的独立影响因素(P<0.05)。结论年龄≥60岁、开胸手术、术中出血量≥400 ml、淋巴结清扫数≥15枚、单肺通气、手术时间≥180 min、胸腔有粘连是影响肺癌患者术后胸腔引流时间的主要因素,临床需加强围手术期个体化评估,据此制定手术及护理方案,以最大程度缩短术后胸腔引流时间。

Objective To explore the relevant influencing factors of postoperative thoracic drainage time in lung cancer patients.Methods 103 lung cancer patients who underwent surgical treatment were selected as the research subjects.They were divided into group A with 51 patients(drainage time≤5 days)and group B with 52 patients(drainage time>5 days)according to the postoperative thoracic drainage time.Analyze the relevant factors that affect the postoperative thoracic drainage time of lung cancer patients.Results Univariate analysis showed that gender,diabetes,hypertension,history of pulmonary tuberculosis,and number of drainage tubes were not related to postoperative thoracic drainage time(P>0.05);Age,surgical method,intraoperative bleeding,total number of lymph node dissection,ventilation method,surgical time,pleural adhesions are related to postoperative pleural drainage time in lung cancer patients(P<0.05);Multivariate analysis showed that age≥60 years old,thoracotomy,intraoperative bleeding≥400 ml,lymph node dissection≥15,single lung ventilation,surgical time≥180 minutes,and pleural adhesions were independent influencing factors for postoperative thoracic drainage time in lung cancer patients(P<0.05).Conclusion Age≥60 years old,open chest surgery,intraoperative bleeding≥400 ml,lymph node dissection≥15,single lung ventilation,surgical time≥180 minutes,and pleural adhesions are the main factors affecting postoperative thoracic drainage time in lung cancer patients.It is necessary to strengthen individualized evaluation during the perioperative period in clinical practice,and develop surgical and nursing plans based on this to minimize postoperative thoracic drainage time.