外科术后肺部并发症的相关危险因素分析

Analysis of risk factors on postoperative pulmonary complications

关键词:  外科手术  术后肺部并发症  危险因素

Key words:  surgical operation  postoperative pulmonary complications  risk factors

摘要:

[目的] 研究外科手术后肺部并发症（postoperative pulmonary complications, PPCs）发生的相关危险因素。 [方法] 回顾分析408例外科手术患者的临床资料，对数据进行单因素分析，并选择有统计学意义的因素进行Logistic回归分析。 [结果] 408例患者中53例患者发生术后肺部并发症，PPCs发生率12.9%。年龄＞65岁，存在肺外基础疾病，血清白蛋白低，有吸烟史，存在COPD, 手术部位在心脏和胸部，手术时间＞3 h均为发生外科术后肺部并发症的危险因素（P<0.05）。 [结论] 年龄＞65岁，存在肺外基础疾病，血清白蛋白低，有吸烟史，存在COPD等肺部基础疾病，手术部位在心脏和胸部，手术时间＞3 h均为发生PPCs的危险因素，术中和术后应注意保护肺功能。

Abstract:

[Objective] To investigate the risk factors of postoperative pulmonary complications (PPCs). [Methods] We performed a retrospective analysis on 408 cases of surgical operation. The data was analyzed by individual element. Then statistically significant factors were analyzed by logistic regression analysis. [Result] Fifty-three of 408 patients had PPCs, the incidence rate was 12.9%. The incidence of PPCs was significantly increased in patients with age over 65, expulmonary underlying diseases, low serum albumin level, the diseases of respiratory tract, smoking history, heart and breast and long operation time (P<0.05). [Conclusion] Age, smoking history, underlying diseases, serum albumin level, operate site, operation time are the correlative factors on postoperative pulmonary complications.