摘要
目的分析术式选择对有无合并COPD的肺癌患者术后恢复进程、并发症及经济性的影响。方法选择2014年6月~2016年9月期间我院收治的138例肺癌合并COPD患者,按双盲数字法分为对照组(n=69)和A观察组(n=69),选取69例无COPD肺癌患者为B观察组。对照组患者采用传统的肺癌手术治疗;A、B观察组均采用全胸腔镜术实施手术治疗。详细记录患者在手术过程中、手术后相关指标及不良反应等情况。结果术中,A、B观察组患者的手术指标明显低于对照组(P<0.05),A观察组与B观察组的手术指标无差异,且三组患者的手术时间无明显差异(P>0.05)。术后,A观察组术后情况明显优于对照组,B观察组的术后情况明显优于A观察组,但A、B观察组的住院费用略高于对照组(P<0.05)。A观察组的手术有效率(89.86%)、不良反应发生率(5.80%)明显优于对照组手术有效率(76.81%)、不良反应发生率(13.05%),B观察组的手术有效率及不良反应发生率优于A观察组(P<0.05)。结论采用全胸腔镜术手术治疗肺癌合并COPD患者,可提高患者的恢复进程及治疗有效率,减少患者并发症及经济负担;有无COPD合并症也会影响患者的治疗效果。
Objective To analyze the effect of surgical methods selection on the postoperative recovery process, complications and economical efficiency in the lung cancer patients with or without COPD. Methods A total of 138 patients with lung cancer complicated with COPD who were admitted to our hospital from June 2014 to September 2016 were selected. According to the double-blind digital method, the patients were divided into the control group （n=69） and ob- servation group A（n=69）. A total of 69 patients with lung cancer without COPD were selected in observation group B. The patients in the control group were treated with traditional lung cancer surgery; observation group A and B were treated with full thoracoscopic surgery. Relevant indicators and adverse reactions were recorded in detail in the course of surgery and after surgery. Results During the surgery, the surgical indicators in the observation group A and B were significantly lower than those in the control group （P〈0.05）. There was no significant difference in the surgical indicators between observation group A and observation group B, and there was no significant difference in the operation time between the three groups （P〉0.05）. After surgery, the postoperative condition in the observation group A was significantly better than that in the control group. The postoperative condition in the observation group B was significantly better than that in observation group A; however, the hospitalization costs in observation group A and B were slightly higher than that in the control group （P〈0.05）. The effective rate of surgery and the adrerse reaction rates in the observation group A were 89.86% and 5.80% respectively, which were significantly better than those of 76.81% and 13.05% in the control group; the effective rate of surgery and incidence rate of adverse reactions in the observation group B were better than those in the observation group A （P〈0.05）. Conclusion Full thoracoscopic surgery in the treatment of lung can- cer complica
出处
《中国现代医生》
2017年第17期11-14,共4页
China Modern Doctor
基金
吴阶平医学基金会临床科研专项资助基金(320.6750.1303)
浙江省宁波市科学技术局科技计划项目(201501CX-D02030)
关键词
术式选择
肺癌
恢复进程
COPD
Selection of surgical methods
Lung cancer
Course of recovery
COPD
