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  

Analysis on the Related Influencing Factors for the Occurrence of Cardiopulmonary Complications in Elderly Lung Cancer Patients After Thoracoscopic Partial Resection

作　　者：彭艳[1] 时静 李慧[1] PENG Yan;SHI Jing;LI Hui(Department of Thoracic Surgery,Jiaozuo Second People's Hospital,Jiaozuo 454000,China)

机构地区：[1]焦作市第二人民医院胸外科,河南焦作454000

出　　处：《临床医学工程》2024年第12期1563-1564,共2页Clinical Medicine & Engineering

摘　　要：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。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.

关 键 词：肺癌 胸腔镜肺部分切除术 心肺并发症 影响因素 

分 类 号：R734.2[医药卫生—肿瘤]