首页|老年肺癌患者胸腔镜肺部分切除术后发生心肺并发症的相关影响因素分析

老年肺癌患者胸腔镜肺部分切除术后发生心肺并发症的相关影响因素分析

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目的 分析老年肺癌患者胸腔镜肺部分切除术后发生心肺并发症的影响因素.方法 回顾性分析 105 例行胸腔镜肺部分切除术的老年肺癌患者的临床资料,分析术后发生心肺并发症的危险因素.结果 单因素和多因素Logistic回归分析显示,年龄≥70 岁、有吸烟史、合并高血压、合并糖尿病、术前FEV1%<60%、术前白蛋白<35 g/L是老年肺癌患者胸腔镜肺部分切除术后发生心肺并发症的危险因素(OR>1,P<0.05).结论 老年肺癌患者胸腔镜肺部分切除术后心肺并发症的发生风险较高,心肺并发症的发生与年龄≥70 岁、有吸烟史、合并高血压、合并糖尿病、术前FEV1%<60%、术前白蛋白<35 g/L密切相关.
Analysis on the Related Influencing Factors for the Occurrence of Cardiopulmonary Complications in Elderly Lung Cancer Patients After Thoracoscopic Partial Resection
Objective To analyze the influencing factors for the occurrence of cardiopulmonary complications in elderly lung cancer patients after thoracoscopic partial resection.Methods The clinical data of 105 elderly lung cancer patients who underwent thoracoscopic partial resection were retrospectively analyzed.The risk factors for the occurrence of postoperative cardiopulmonary complications were analyzed.Results Univariate analysis and multivariate Logistic regression analysis showed that age≥70 years,smoking history,complication of hypertension,complication of diabetes,preoperative FEV1%<60%and preoperative albumin<35 g/L were the risk factors for the occurrence of cardiopulmonary complications in elderly patients with lung cancer after thoracoscopic partial resection(OR>1,P<0.05).Conclusions The occurrence risk of cardiopulmonary complications after thoracoscopic partial pneumonectomy in elderly patients with lung cancer is high.The occurrence of cardiopulmonary complications is closely related to the age≥70 years,smoking history,complication of hypertension,complication of diabetes,preoperative FEV1%<60%and preoperative albumin<35 g/L.

Lung cancerThoracoscopic partial resectionCardiopulmonary complicationInfluencing factor

彭艳、时静、李慧

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焦作市第二人民医院胸外科,河南 焦作 454000

肺癌 胸腔镜肺部分切除术 心肺并发症 影响因素

2024

临床医学工程
国家医疗保健器具工程技术研究中心

临床医学工程

影响因子:0.193
ISSN:1674-4659
年,卷(期):2024.31(12)