中国实用外科杂志2017，Vol.37Issue(4)：432-436,5.DOI:10.19538/j.cjps.issn1005-2208.2017.04.28
胃癌术后肺部并发症相关危险因素分析
Potential risk factors for postoperative pulmonary complications in gastric cancer patients
摘要
Abstract
Objective To compare the clinicopathological characteristics between postoperative pulmonary complications (PPCs) patients and non-complication patients, to identify the potential risk factors for developing PPCs. Methods The clinical data of 719 gastric cancer patients who underwent gastrectomy in West China Hospital of Sichuan University from January 2012 to December 2015 were analyzed retrospectively. Patients received preoperative chemotherapy, diagnosed as remnant gastric cancer or had any other postoperative non-pulmonary complications were excluded. All the patients were divided into PPCs group (103 patients) and non-PPCs group (616 patients). Results Patients in the PPCs groups had significantly longer postoperative hospital stay than patients in the non-PPCs group [(13.5±7.0)d vs.(10.7±3.1)d,P<0.001]. Other data had no statistical difference between two groups(P>0.05). The age of patients (P=0.018),history of pulmonary disease (P<0.001),preoperative pulmonary function test (FEV1/FVC)(P=0.002),hemoglobin level (P=0.004),intraoperative blood loss (P=0.042) and surgical duration (P=0.048) were risk factors identified by the univariate analysis. Finally, the logistic regression found out that,history of pulmonary disease (P<0.001),preoperative pulmonary function test (P=0.032) and hemoglobin level (P=0.004) were the independent risk factors for the incidence of the PPCs. Conclusion The postoperative pulmonary complication is one of the common complications of the gastric cancer patients. Body Mass Index level (≥25),history of pulmonary disease,preoperative pulmonary function test (FEV1/FVC<60) and hemoglobin level (<90 g/L) were the independent risk factors for the incidence of the PPCs.关键词
胃癌/术后肺部并发症/肺部感染/危险因素Key words
gastric cancer/postoperative pulmonary complication/pulmonary infection/risk factors分类
医药卫生引用本文复制引用
张维汉,陈心足,杨昆,刘凯,张波,陈志新,陈佳平,胡建昆..胃癌术后肺部并发症相关危险因素分析[J].中国实用外科杂志,2017,37(4):432-436,5.基金项目
四川省青年科技创新研究团队(No.2015TD0009) （No.2015TD0009）
四川大写华西医院学科卓越发展135工程项目 （）
