外科术后肺部并发症的相关危险因素分析

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。

Analysis of risk factors on postoperative pulmonary complications

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.