Study on the influencing factors of postoperative pulmonary complications in elderly patients with bile duct stones and the effect of perioperative pulmonary rehabilitation training
Objective To analyze the influencing factors of postoperative pulmonary complications(PPCs)in elderly patients with bile duct stones,and to explore the effect of perioperative pulmonary rehabilitation training.Methods 120 elderly patients with bile duct stones were selected and divided into the control group and the study group according to random number table method,with 60 cases in each group.The control group received conventional rehabilitation training,and the study group received perioperative pulmonary rehabilitation training.The occurrence of PCCs and postoperative rehabilitation effect in both groups were compared,and the influencing factors of PPCs in elderly patients with bile duct stones were analyzed.Results The incidence of PPCs in the study group(15.00％,9/60)was lower than that in the control goup(36.67％,22/60))(P＜0.05).Compared with the control group,the study group had shorter ambulation time,anal exhaust time,and hospital stay(P＜0.05).There was no statistically significant difference in readmission rate between the study group and the control group within 30 days after surgery(P＞0.05).31 patients with PPCs were enrolled in PPCs group,and 89 patients were enrolled in non-PPCs group.Compared with non-PPCs group,PPCs group had higher rate of previous biliary surgery history and preoperative albumin(ALB)levels(P＜0.05).The operation time in PPCs group was longer than that of non-PPCs group(P＜0.05).There were no statistically significant differences in age,sex,stone size,stone type,stone site,intraoperative use of cholangioscopy rate,combined biliary enteric anastomosis rate,intraoperative blood transfusion rate,intraoperative bleeding volume,and preoperative total bilirubin(TBIL)levels between PPCs group and non-PPCs group(P＞0.05).Using group as dependent variable and factors with P＜0.05 in univariate analysis as independent variables,binary logistic regression analysis showed that the history of biliary surgery and long operation time were risk factos for PPCs in elderly patients with bile duct stones(P＜0.05),and high preoperative ALB levels were protective factors for these patients(P＜0.05).Conclusion The occurrence of PPCs in elderly patients with bile duct stones is related to the previous history of biliary surgery,operation time,and preoperative ALB levels.Perioperative pulmonary rehabilitation training can reduce the incidence of PPCs in elderly patients with bile duct stones,and promote the recovery of these patients.
elderly bile duct stonespostoperative pulmonary complicationsperioperative pulmonary rehabilitation traininginfluencing factorseffect
万方数据
维普
