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老年早期肺癌患者围手术期并发症的危险因素分析

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目的 探讨老年早期肺癌患者围手术期并发症的主要危险因素.方法 选取 2023 年 3 月至 2024 年3 月河南省肿瘤医院收治的137 例老年早期肺癌患者.所有患者均接受手术治疗,统计患者围手术期并发症发生情况,并进行围手术期并发症危险因素分析.结果 在137 例患者中,36 例(26.28%)出现并发症,纳入并发症组;101 例(73.72%)未出现并发症,纳入无并发症组.2 组老年早期肺癌患者的年龄、吸烟史、冠心病发生率、手术时间比较,差异均有统计学意义(t=6.445,P<0.001;χ2=7.956,P=0.005;χ2=7.499,P=0.006;t=2.477,P=0.015).年龄、吸烟史、冠心病为老年早期肺癌患者围手术期并发症的影响因素(95%CI:1.234~4.358,P=0.009;95%CI:1.105~7.030,P=0.030;95%CI:1.029~6.614,P=0.044).结论 年龄、吸烟史及冠心病为老年早期肺癌患者围手术期并发症的主要危险因素,临床上应针对上述危险因素对患者围手术期进行严格管理,采取针对性措施进行干预,以减少患者围手术期并发症发生情况,提升患者的生活质量.
Risk factors analysis for perioperative complications in the elderly patients with early-stage lung cancer
Objective To investigate the main risk factors for perioperative complications in the elderly patients with early-stage lung cancer.Methods A total of 137 elderly patients with early-stage lung cancer underwent surgery in Henan Cancer Hospital from March 2023 to March 2024.The incidence of perioperative complications was calculated.The risk factors for perioperative complications were analyzed.Results Of the137 patients,36 patients(26.28%)had com-plications,101 patients had no complications.There were statistically significant differences in age,smoking history,un-derlying disease(coronary heart disease)and surgical time between the complication group and the non-complication group(t=6.445,P<0.001;χ2=7.956,P=0.005;χ2=7.499,P=0.006;t=2.477,P=0.015).Age,smoking history and coronary heart disease were the factors influencing perioperative complications in the elderly with early-stage lung cancer(95%CI:1.234~4.358,P=0.009;95%CI:1.105~7.030,P=0.030;95%CI:1.029~6.614,P=0.044).Con-clusion Age,smoking history and coronary heart disease are the main risk factors for perioperative complications in the elderly with early-stage lung cancer.In clinical practice,strict management should be carried out and targeted intervention measures should be taken according to these risk factors to reduce the occurrence of perioperative complications and improve the patients'life quality.

early-stage lung cancercomplicationrisk factorperioperative period

郭峰杰、孙爱英、宋瑞娟

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郑州大学附属肿瘤医院、河南省肿瘤医院胸外科,河南 郑州 450007

早期肺癌 并发症 危险因素 围手术期

2024

肿瘤基础与临床
河南省抗癌协会,郑州大学,河南省肿瘤医院,河南省肿瘤研究所

肿瘤基础与临床

影响因子:0.861
ISSN:1673-5412
年,卷(期):2024.37(5)