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目的探索围术期规范化防治措施对经口寰枢椎术后肺部并发症发生的干预作用。方法对广州军区广州总医院2005-01-2009-06经口寰枢椎术患者(A组)104例进行回顾性分析,并对2009-06-2010-06行围术期规范化防治措施的经口寰枢椎术患者(B组)33例进行前瞻性研究,比较两组患者术后肺部并发症发生率的差异。结果改进并规范了围术期防治措施后,术后肺部并发症的发生率明显下降,两组差异有统计学意义(P<0.05)。结论经口寰枢椎术后肺部并发症发生率高,但只要重视围术期的处理,可明显降低术后肺部并发症的发生率。
Objective To explore the intervention effect of perioperative standardization of prevention and treatment measures on pulmonary complications after oral atlantoaxial surgery. Methods A total of 104 patients with atlanto-axial vertebra (Group A) in Guangzhou General Hospital of Guangzhou Military Region from January 2005 to June 2009 were retrospectively analyzed. The data of the standardized measures of perioperative management during 2009-06-2010-06 A total of 33 patients undergoing atlantoaxial atlantoaxial surgery (group B) were prospectively studied, and the differences in postoperative pulmonary complications between the two groups were compared. Results After improving and standardizing perioperative prevention and treatment measures, the incidence of postoperative pulmonary complications decreased significantly, with significant difference between the two groups (P <0.05). Conclusion The incidence of pulmonary complications after oral atlantoaxial surgery is high, but as long as the perioperative management is concerned, the incidence of postoperative pulmonary complications can be significantly reduced.