食管癌术后并发肺部感染的高危因素调查分析

目的 调查研究食管癌术后并发肺部感染的高危因素.方法 选取2008年1月-2011年10月进行手术治疗的156例食管癌患者为研究对象,将其术后肺部感染的发生率及其与患者性别、年龄、手术时间、术前是否放疗、合并基础疾病、喉返神经损伤、术后硬膜外自控镇痛情况的相关性进行研究.结果 156例食管癌手术患者,术后发生肺部感染21例,感染率为13.5％,以下因素患者的感染率为:年龄≥60岁为15.2％、手术时间≥4h为25.0％、术前放疗患者为40.0％、合并其他基础疾病为16.3％、喉返神经损伤为80.0％、术后进行硬膜外自控镇痛为25.6％,差异均有统计学意义(均P＜0.05).结论 年龄、手术时间、术前是否放疗、是否合并其他基础疾病、喉返神经损伤、术后镇痛情况均为食管癌术后并发肺部感染的高危因素,在治疗护理的过程中应引起重视.

Risk factors for postoperative pulmonary infections after esophageal cancer surgery

OBJECTIVE To investigate and research the risk factors for pulmonary infections after esophageal cancer surgery.METHODS A total of 156 cases of esophageal cancer patients undergoing surgical treatment from Jan 2008 to Oct 2011 were selected as objects.The relationship between the incidence rate of postoperative pulmonary infection and the gender,age,operation duration,preoperative radiotherapy,combined underlying diseases,recurrent laryngeal nerve injury,and postoperative epidural analgesia was studied.RESULTS Of 156 esophageal cancer patients,postoperative pulmonary infections occurred in 21 cases with the infection rate of 13.5%.The infection rates of the patients of 60 years of age or older,with surgery duration more than 4 hours,undergoing preoperative radiotherapy,with other underlying diseases,recurrent laryngeal nerve injury,and undergoing postoperative epidural analgesia were 13.5%,15.2%,25.0%,40.0%,16.3%,80.0%,and 25.6%,the differences were statistically significant(all P<0.05).CONCLUSION The gender,age,operation duration,preoperative radiotherapy,combined underlying diseases,recurrent laryngeal nerve injury,and postoperative epidural analgesia are the risk factors for postoperative pulmonary infections after esophageal cancer surgery,which are worthy of the attention during the treatment and nursing.