發(fā)布時間：2018-08-29 20:16

【摘要】：目的:探討結直腸癌患者術后肺部并發(fā)癥(PPCs)發(fā)生的危險因素。方法:回顧性分析2014年1月至2016年6月共352例結直腸癌術后患者臨床資料,對數(shù)據(jù)進行單因素分析后,選取有統(tǒng)計意義的因素進行多因素Logistic回歸分析。結果:共41例發(fā)生PPCs,發(fā)生率為11.6%(41/352),單因素分析提示:年齡≥65歲,體質(zhì)指數(shù)(BMI)≥25 kg/m~2,有吸煙史,合并慢性阻塞性肺疾病(COPD),手術時間(≥3 h)及術前新輔助化療這6類因素為有統(tǒng)計學意義的危險因素(P0.05),對這6類危險因素進行多因素分析提示年齡65歲,體質(zhì)指數(shù)(BMI)≥25 kg/m~2,合并COPD,手術時間(≥3 h)為其獨立的危險因素(P0.05)。結論:對于老年結直腸癌患者,尤其術前存在慢阻肺病史或肥胖患者,若手術時間長,應充分重視PPCs的發(fā)生,加強預防。
[Abstract]:Objective: to investigate the risk factors of (PPCs) in postoperative pulmonary complications in patients with colorectal cancer. Methods: the clinical data of 352 patients with postoperative colorectal cancer from January 2014 to June 2016 were analyzed retrospectively. After univariate analysis, multivariate Logistic regression analysis was performed on the statistically significant factors. Results: the incidence of PPCs, in 41 cases was 11.6% (41 / 352). Univariate analysis showed that age 鈮，

本文編號：2212304