老年人胃癌术后呼吸系统并发症临床危险因素分析  

An Analysis of Risk Factors for Postoperative Pulmonary Complication in Elderly Patients with Gastric Cancer

作　　者：尹军平[1] 吕桂泉[1] 

机构地区：[1]浙江萧山医院,浙江杭州311201

出　　处：《肿瘤学杂志》2011年第4期260-262,共3页Journal of Chinese Oncology

摘　　要：[目的]探讨60岁以上老年胃癌患者术后呼吸系统并发症(PPC)的临床危险因素。[方法]回顾性分析2006年1月至2009年12月215例60岁以上胃癌患者的临床病理资料,采用Logistic回归方法分析与PPC发生有关的危险因素。[结果]215例患者有71例(33.0%)并发PPC,多因素Logistic回归分析显示与PPC有关的危险因素有:吸烟(OR=2.317),呼吸系统疾病(OR=1.751),血清白蛋白(OR=1.657),ASA分级(OR=1.097),留置鼻胃管时间(OR=1.555)。[结论]高龄、有基础呼吸系统疾病、血清白蛋白水平低、术前ASA分级>2、术后留置胃管的胃癌患者易发生PPC,应重视其围手术期处理。[Purpose] To investigate the clinical risk factors for postoperative pulmonary complication（PPC） in patients aged over 60 years with gastric cancer.[Methods] From January 2006 to December 2009,the clinical data of patients aged over 60 years with gastric cancer were analyzed retrospectively.Risk factors for PPC were analyzed by Logistic regression analysis.[Results] The complication rate of PPC was 33.0% （71/215）.Multivariate Logistic regression analysis showed that smoking（OR=2.317）,respiratory diseases（OR=1.751）,serum albumin level（OR=1.657）,ASA grade （OR=1.097） and indwelling nasogastric tube time（OR=1.555） were the risk factors for PPC.[Conclusion] Patients with old age,history of respiratory diseases,lower serum albumin level,preoperative ASA grade2 and postoperative indwelling nasogastric tube were more prone to develop PPC,perioperative management should be paid attention to these patients.

关 键 词：胃肿瘤 并发症 老年 危险因素 

分 类 号：R730.6[医药卫生—肿瘤] R735.2[医药卫生—临床医学]