胃癌腔镜手术后肺部感染危险因素
作者:
作者单位:

作者简介:

李林

通讯作者:

中图分类号:

R735.2;R181.3+2

基金项目:


Risk factors for pulmonary infection after laparoscopic surgery for gastric cancer
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 文章评论
    摘要:

    目的 探讨胃癌腔镜手术后肺部感染的发病情况和相关危险因素,为制订防控措施提供依据。方法 收集2017年1月1日—2018年12月31日某院收治的胃癌腔镜手术患者临床资料,对可能影响患者术后肺部感染的危险因素进行单因素和多因素logistic回归分分析。结果 共纳入胃癌腔镜手术患者856例,发生手术后肺部感染113例,手术后肺部感染发病率为13.20%。单因素分析结果显示,患者年龄、性别、吸烟、胃癌分期、基础疾病数目、合并肺功能不全、术前化学治疗、术后留置胃管时间是胃癌术后肺部感染的危险因素(均P<0.05)。多因素logistic回归结果显示,年龄、吸烟、合并肺功能不全、术前化学治疗是胃癌患者术后肺部感染的独立危险因素(OR值分别为2.812、3.578、2.719、2.115,均P<0.05)。结论 高龄、吸烟史、合并肺功能不全、术前化学治疗是胃癌腔镜患者手术后肺部感染的危险因素,应采取有效措施降低手术后肺部感染发病率。

    Abstract:

    Objective To explore the occurrence and risk factors of pulmonary infection(PI) after laparoscopic surgery for gastric cancer, and provide evidence for formulating prevention and control measures. Methods Clinical data of patients with gastric cancer who underwent laparoscopic surgery in a hospital between January 1, 2017 and December 31, 2018 were collected, risk factors that may affect post-operative PI were analyzed by univariate and multivariate logistic regression analysis. Results A total of 856 patients with gastric cancer who underwent laparoscopic surgery were analyzed, 113 patients had post-operative PI, incidence of post-operative PI was 13.20%. Univariate analysis showed that age, gender, smoking, stage of gastric cancer, number of underlying diseases, pulmonary insufficiency, pre-operative chemotherapy, and duration of post-operative indwelling gastric tube were risk factors for post-operative PI (all P<0.05). Multivariate logistic regression analysis showed that age, smoking, pulmonary insufficiency, and pre-operative chemotherapy were independent risk factors for post-operative PI (OR were 2.812, 3.578, 2.719, 2.115, all P<0.05). Conclusion Risk factors for PI after laparoscopic surgery for gastric cancer are age, smoking, pulmonary insufficiency and pre-operative chemotherapy, effective measures should be taken to reduce post-operative PI.

    参考文献
    相似文献
引用本文

谢建忠, 李林, 黄彬,等.胃癌腔镜手术后肺部感染危险因素[J]. 中国感染控制杂志,2020,19(7):653-656. DOI:10.12138/j. issn.1671-9638.20205553.
XIE Jian-zhong, LI Lin, HUANG Bin, et al. Risk factors for pulmonary infection after laparoscopic surgery for gastric cancer[J]. Chin J Infect Control, 2020,19(7):653-656. DOI:10.12138/j. issn.1671-9638.20205553.

复制
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:2019-07-01
  • 最后修改日期:
  • 录用日期:
  • 在线发布日期: 2020-07-28
  • 出版日期: