老年人胃癌术后呼吸系统并发症临床危险因素分析

[目的]探讨60岁以上老年胃癌患者术后呼吸系统并发症（PPC）的临床危险因素。[方法]回顾性分析2006年1月至2009年12月215例60岁以上胃癌患者的临床病理资料,采用Logistic回归方法分析与PPC发生有关的危险因素。[结果]215例患者有71例（33.0%）并发PPC,多因素Logistic回归分析显示与PPC有关的危险因素有：吸烟（OR=2.317）,呼吸系统疾病（OR=1.751）,血清白蛋白（OR=1.657）,ASA分级（OR=1.097）,留置鼻胃管时间（OR=1.555）。[结论]高龄、有基础呼吸系统疾病、血清白蛋白水平低、术前ASA分级〉2、术后留置胃管的胃癌患者易发生PPC,应重视其围手术期处理。

An Analysis of Risk Factors for Postoperative Pulmonary Complication in Elderly Patients with Gastric Cancer

[Purpose] To investigate the clinical risk factors for postoperative pulmonary complication(PPC) in patients aged over 60 years with gastric cancer.[Methods] From January 2006 to December 2009,the clinical data of patients aged over 60 years with gastric cancer were analyzed retrospectively.Risk factors for PPC were analyzed by Logistic regression analysis.[Results] The complication rate of PPC was 33.0% (71/215).Multivariate Logistic regression analysis showed that smoking(OR=2.317),respiratory diseases(OR...