食管癌患者术后肺部感染围手术期的影响因素分析

被引:75
作者
王丽君
顾连兵
蒋大明
高蓉
许仄平
万梅方
鲁振
机构
[1] 江苏省肿瘤医院麻醉科
关键词
食管癌; 手术; 肺部感染; 岭回归;
D O I
暂无
中图分类号
R735.1 [食管肿瘤];
学科分类号
100403 [营养与食品卫生学];
摘要
目的从麻醉学角度探讨食管癌术后肺部感染的影响因素。方法采用回顾性调查的方法,收集江苏省肿瘤医院2009年1-12月349例食管癌根治术患者的临床资料,用多因素分析法分析患者术前生理指标、术中麻醉学参数、以及患者术后恢复情况等26个指标与食管癌术后肺部感染发生率之间的关系。结果 349例患者术后的肺部感染发生率为27.8%,岭回归分析显示26个相关指标中有8个因素对肺部感染具有显著的影响,其作用大小依次为:术后硬膜外镇痛(PCEA)、糖尿病、术中复合硬膜外阻滞、其他术后并发症、单肺通气(OLV)、悬浮少白细胞红细胞输注量、体质指数(BMI)、年龄,其中,PCEA为术后肺部感染的抑制因素,其余均为促进因素。结论食管癌术后肺部感染的影响因素包括PCEA、糖尿病、术中复合硬膜外阻滞、其他术后并发症、OLV、悬浮少白细胞红细胞输注量、BMI、年龄。
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