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目的随着肺癌发病率的上升及开胸肺癌手术的深入开展,术前肺功能状况对手术的影响越来越受重视。本研究探讨了肺通气功能中度减退的肺癌患者术后并发症发生情况,探讨与并发症发生的其他相关因素。方法同步对照分析肺通气功能中度减退(31例)与肺功能正常(62例)两组病例并发症的发生情况,进行t检验及卡方检验作比较．行logistic回归分析影响并发症出现的有关因素。结果肺通气功能中度减退患者术后常见低氧血症(41．9％),心律失常或心功能不全(25．8％)．肺部感染(25．8％)等一般并发症,呼吸衰竭、心力衰竭等严重并发症的发生率为9．2％,院内死亡率为3．2％;而对照组此四类并发症发生率分别为:16.1％、 8．1％、9．6％及3．2％,无院内死亡。回归分析显示年龄、手术切除范围与并发症的发生有关。结论肺通气功能中度减退的肺癌患者术后出现低氧血症等一般并发症几率较正常组明显增高,而严重并发症及院内死亡率并无明显增高,年龄越大、手术切除范围越大者并发症发生几率越大。
Objective With the rising incidence of lung cancer and thoracic and lung cancer surgery in depth, the impact of preoperative pulmonary function conditions on the surgery more and more attention. This study explored the incidence of postoperative complications in lung cancer patients with moderately diminished lung ventilation and other related factors associated with complications. Methods Simultaneous and comparative analysis of the incidence of complications between the two groups of patients with moderate pulmonary hypofunction (31 cases) and normal lung function (62 cases) was carried out, t-test and chi-square test were compared. Logistic regression analysis of complications related factors. Results Hypoxemia (41.9%), arrhythmia or cardiac insufficiency (25.8%) were common postoperatively in patients with moderate pulmonary hypofunction. (25.8%) and other common complications such as respiratory failure, heart failure and other serious complications was 9.2%, hospital mortality was 3.2%; while the control group of these four complications Rates were 16.1%, 8.1%, 9.6% and 3.2% respectively, with no hospital deaths. Regression analysis showed that the age, surgical resection range and the occurrence of complications. Conclusion The incidence of postoperative hypoxemia and other complications of lung cancer patients with moderately decreased pulmonary ventilation is significantly higher than that of the normal group, while the serious complications and in-hospital mortality are not significantly increased. The older the patients, the greater the scope of resection The greater the chance of complications.