| 朱根英 吴 辰 魏云海 徐永灿.腹腔镜胃癌根治术患者术后肺部感染与影响因素分析[J].中国现代医生,2021,59(19):7-9+43 |
| 腹腔镜胃癌根治术患者术后肺部感染与影响因素分析 |
| Analysis on postoperative pulmonary infection and influencing factors in the patients undergoing laparoscopic radical gastrectomy of gastric cancer |
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| DOI： |
| 中文关键词: 腹腔镜 胃癌根治术 肺部感染 影响因素 |
| 英文关键词:Laparoscopy Radical gastrectomy of lung cancer Lung infection Influencing factors |
| 基金项目:国家自然科学基金项目（81802309） |
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| 中文摘要: |
| 目的 探讨腹腔镜胃癌根治术患者术后肺部感染与影响因素。方法 选取2018 年1—12 月在我院接受腹腔镜胃癌根治术治疗的186 例患者作为研究对象。调查并统计所有胃癌患者的基本资料，并对其进行单因素及多因素分析。结果 有19 例患者出现肺部感染，感染发生率为10.2%，其中存在吸烟史、术后留置胃管时间≥6 d、术中出血量≥200 mL 及全胃切除患者肺部感染发生率均高于未存在吸烟史、术后留置胃管＜6 d、术中出血量＜200 mL 及未进行全胃切除者（P＜0.05）；存在吸烟史、出血量≥200 mL 及术后留置胃管时间≥6 d 均为胃癌患者术后肺部感染情况出现的独立危险因素（P＜0.05）。结论 存在吸烟史、术中出血量≥200 mL 及术后留置胃管时间≥6 d 均为腹腔镜胃癌根治术后肺部感染发生的独立危险因素，术前详细了解患者身体状况并采取针对性指导，有助于避免或减少术后肺部感染情况的发生。 |
| 英文摘要: |
| Objective To explore postoperative lung infection and influencing factors in the patients undergoing laparoscopic radical gastrectomy of gastric cancer.Methods A total of 186 patients who underwent laparoscopic radical gastrectomy of gastric cancer in our hospital from January 2018 to December 2018 were selected as the research subjects.The basic data of all gastric cancer patients were investigated and statistically analyzed.A single factor and multi-factor analysis were also carried out on those data.Results 19 of all patients had lung infections,with the infection incidence rate of 10.2%.Among them,the incidence rate of pulmonary infections in the patients with a history of smoking,gastric tube indwelling time ≥6 days,intraoperative blood loss ≥200 mL,and experience of total gastrectomy were higher than the patients with no past history of smoking,postoperative gastric tube indwelling time <6 days,intraoperative blood loss<200 mL and no experience of total gastrectomy (P＜0.05);a past smoking history,bleeding volume ≥200 mL,and postoperative gastric tube indwelling time≥6 days were all independent risk factors for postoperative lung infec tions in the patients undergoing gastrectomy of gastric cancer(P＜0.05).Conclusion A past smoking history,intraoperative blood loss ≥200 mL,and postoperative gastric tube indwelling time≥6 days are independent risk factors for lung infections after laparoscopic radical gastrectomy of gastric cancer.A detailed understanding of the patient′s physical condition and targeted guidance before surgery can help avoid or reduce the incidence of postoperative lung infections. |
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