摘要
目的分析肺癌患者术后并发肺部感染(postoperative pulmonary infection in patients with lung cancer,PPILC)的危险因素。方法回顾性分析中山大学肿瘤防治中心2018年1-12月收治的472例行肺癌手术患者的资料,包括临床基本资料和实验室检查结果等,应用单因素分析和logistic回归分析患者术后并发肺部感染的风险因素。结果10.6%的肺癌患者术后并发肺部感染;多因素分析结果显示:术前存在肺通气功能障碍、手术时间长、术后3天内需予辅助吸痰、行二次手术、氧分压低是患者术后并发肺部感染的独立危险因素(P<0.05)。结论医护人员应重点关注合并以上危险因素患者术后肺部感染的防治,尽早干预改善患者肺功能、咳痰能力等,以期改善患者预后。
Objective To analyze the risk factors of postoperative pulmonary infection in patients with lung cancer(PPILC).Methods A total of 472 patients who underwent lung cancer resection in January to December 2018 in Sun Yat-sen University Cancer Center were surveyed retrospectively,and a self-designed questionnaire was used to collect their clinical basic data and laboratory examination results.Univariate analysis and logistic regression were used to analyze the risk factors of postoperative pulmonary infection in patients with lung cancer.Results The incidence rate of postoperative pulmonary infection was 10.6%.The results of multivariate analysis showed that needed to be assisted sputum suction,needed re-operation,low postoperative PaO2 within 72 hours after operation,longer length of operation and preoperative pulmonary ventilation dysfunction,were the main factors affecting postoperative pulmonary infection(P<0.05).Conclusions Doctors and nurses should pay more attention to the prevention and treatment of postoperative pulmonary infection in patients with these risk factors and improve their pulmonary function and coughing ability,so as to improve their prognosis.
作者
朱瑞云
孙仲文
黄昌洋
贺果
钟裕
ZHU Rui-yun;SUN Zhong-wen;HUANG Chang-yang;HE Guo;ZHONG Yu(Medical Department,Sun Yat-sen University Cancer Center,Guangzhou 510060,China;Intensive Care Unit,Sun Yat-sen University Cancer Center,Guangzhou 510060,China)
出处
《循证医学》
2021年第6期351-357,共7页
The Journal of Evidence-Based Medicine
关键词
肺癌
术后
肺部感染
lung cancer
postoperative
pulmonary infection
