摘要
目的:探讨经口寰枢椎术后肺部并发症(PPCs)的相关因素和预防控制措施。方法:回顾性分析我院2005年1月～2009年6月收治的104例经口寰枢椎手术患者的临床资料,评价术后肺部并发症情况,分为PPCs组与非PPCs组,采用t检验、χ2检验及Logistic回归模型分析PPCs的相关影响因素。结果:本组104例患者中23例出现PPCs,发生率为22.1%。PPCs组与非PPCs组比较结果显示,气管导管留置时间(>4d)、术中输液量(>3500ml)、手术时间(>6h)、脊髓损伤程度(Frankle分级A～D)、吸烟史、低蛋白血症(<35g/L)、低钠血症(<135mmol/L)及低体重指数(BMI<18.5)等8个因素差异有统计学意义。结论:经口寰枢椎手术PPCs发生率高,应重视各种易致PPCs发生的危险因素,采取预防措施,减少PPCs的发生。
Objective：To investigate the correlative factors and prevention for postoperative pulmonary complications（PPC） due to atantal-axis disorders.Method：104 patients with atantal-axis disorders were collected from January 2005 to June 2009.Nine variables among patients with PPC and without PPC were analyzed by T test and χ2 test and Logistic regression analysis.Result：Of 104 patients with atantal-axis disorders,23 developed PPCs with a ratio of 22.1%.Significant difference were noted with regard to 8 variables including the duration ofintubation（4d）,the duration of operation（6h）,The infusion volume during operation（3500ml）,Frankle grade（A～D）,smoking history,hypoproteinemia（serum albumin35g/L）,hyponatremia（135mmol/L）,BMI 18.5 between patients with PPC and without PPC.Conclusion：PPC rate in transoral operation is high.The risk of PPCs can not be ignored and precaution should be taken to lower its occurrence.
出处
《中国脊柱脊髓杂志》
CAS
CSCD
北大核心
2010年第8期660-663,共4页
Chinese Journal of Spine and Spinal Cord
基金
2007年度卫生部公益性行业专项项目(编号:2-18)
关键词
经口咽入路
术后肺部并发症
相关因素
预防
Transoral-transpharyneal approach
Postoperative pulmonary complications
Related risk factors
Precaution
