胃癌术后肺部感染的危险因素分析及护理对策  

Risk factors of pulmonary infection after gastric cancer surgery and its nursing countermeasures

作　　者：严明芳 林振孟 张兰兰 刘锦玲 郑珠妹[1] 

机构地区：[1]福建省肿瘤医院&福建医科大学附属肿瘤医院胃肠肿瘤外科

出　　处：《当代护士（下旬刊）》2020年第3期3-5,共3页Modern Nurse

基　　金：福建省卫生计生科研人员培养资助项目(2017-1-13)

摘　　要：目的分析胃癌术后肺部感染的危险因素,探讨舒适临床护理以降低术后肺炎发生率。方法回顾性分析2012年3月-2017年12月福建医科大学附属肿瘤医院1516例行胃癌根治术患者的临床病理资料,分析肺炎高危因素及预防措施。结果101(6.7%)例患者术后出现肺部感染。年龄、体重指数、吸烟史、糖尿病、术前低蛋白血症、术中出血量、手术时间、术后胃管留置时间、肺功能不全、手术方式、手术切除范围与术后肺炎有关(P<0.05)。多变量逻辑回归分析显示术前低白蛋白水平、全胃切除手术、糖尿病、肺功能不全、开放手术、术后胃管留置时间长、既往抽烟病史是术后肺炎的独立危险因素。结论术后肺炎不但延长术后的住院时间,也增加术后死亡风险。对于高危人群需要加强围手术期护理工作以减少术后肺炎的发生。objective To analyze the risk factors of pulmonary infection after gastrectomy for gastric cancer,and explore the comfort nursing care in order to reduce the incidence of pulmonary infection.Methods The clinicopathological data of 1516 gastric cancer patients who underwent curative resection form March 2012 to December 2017 in Fujian Medical University cancer hospital was analyzed retrospectively.We analyzed the high risk factors and prevention measures.Results 101 of 1516 patients(6.7%)had postoperative pneumonia.The postoperative pneumonia was significantly correlated with the age,BMI,smoking,diabetes,hypoproteinemia before surgery,blood loss,surgery time,gastric tube detaining time,lung dysfunction,surgical method(open operation),resection range(P<0.05).Results of univariate analysis showed that hypoproteinemia,total gastrectomy,diabetes,lung dysfunction,open operation,gastric tube detaining time,smoking were independently associated with postoperative pneumonia.Conclusion The postoperative pneumonia not only prolonged hospitalisations,but also increased risk of death after surgery.To reduce the chance of postoperative pneumonia,we should strengthen perioperative nursing care for high risk groups.

关 键 词：胃癌 术后肺炎 护理工作 

分 类 号：R473.73[医药卫生—护理学]