摘要
目的探讨老年早期肺癌患者围手术期并发症的主要危险因素。方法选取2023年3月至2024年3月河南省肿瘤医院收治的137例老年早期肺癌患者。所有患者均接受手术治疗,统计患者围手术期并发症发生情况,并进行围手术期并发症危险因素分析。结果在137例患者中,36例(26.28%)出现并发症,纳入并发症组;101例(73.72%)未出现并发症,纳入无并发症组。2组老年早期肺癌患者的年龄、吸烟史、冠心病发生率、手术时间比较,差异均有统计学意义(t=6.445,P<0.001;χ^(2)=7.956,P=0.005;χ^(2)=7.499,P=0.006;t=2.477,P=0.015)。年龄、吸烟史、冠心病为老年早期肺癌患者围手术期并发症的影响因素(95%CI:1.234~4.358,P=0.009;95%CI:1.105~7.030,P=0.030;95%CI:1.029~6.614,P=0.044)。结论年龄、吸烟史及冠心病为老年早期肺癌患者围手术期并发症的主要危险因素,临床上应针对上述危险因素对患者围手术期进行严格管理,采取针对性措施进行干预,以减少患者围手术期并发症发生情况,提升患者的生活质量。
Objective To investigate the main risk factors for perioperative complications in the elderly patients with early-stage lung cancer.Methods A total of 137 elderly patients with early-stage lung cancer underwent surgery in Henan Cancer Hospital from March 2023 to March 2024.The incidence of perioperative complications was calculated.The risk factors for perioperative complications were analyzed.Results Of the 137 patients,36 patients(26.28%)had complications,101 patients had no complications.There were statistically significant differences in age,smoking history,underlying disease(coronary heart disease)and surgical time between the complication group and the non-complication group(t=6.445,P<0.001;χ^(2)=7.956,P=0.005;χ^(2)=7.499,P=0.006;t=2.477,P=0.015).Age,smoking history and coronary heart disease were the factors influencing perioperative complications in the elderly with early-stage lung cancer(95%CI:1.234~4.358,P=0.009;95%CI:1.105~7.030,P=0.030;95%CI:1.029~6.614,P=0.044).Conclusion Age,smoking history and coronary heart disease are the main risk factors for perioperative complications in the elderly with early-stage lung cancer.In clinical practice,strict management should be carried out and targeted intervention measures should be taken according to these risk factors to reduce the occurrence of perioperative complications and improve the patients’life quality.
作者
郭峰杰
孙爱英
宋瑞娟
GUO Fengjie;SUN Aiying;SONG Ruijuan(Department of Thoracic Surgery,Henan Cancer Hospital,Zhengzhou 450007,China)
出处
《肿瘤基础与临床》
2024年第5期544-546,共3页
journal of basic and clinical oncology
关键词
早期肺癌
并发症
危险因素
围手术期
early-stage lung cancer
complication
risk factor
perioperative period
