医学信息
醫學信息
의학신식
MEDICAL INFORMATION
2014年
4期
85-85
,共1页
盐酸氨溴索%食管癌%电视胸腔镜%肺部并发症
鹽痠氨溴索%食管癌%電視胸腔鏡%肺部併髮癥
염산안추색%식관암%전시흉강경%폐부병발증
Ambroxol%Esophageal cancer%VATS%Pulmonary complications
目的：观察在电视胸腔镜食管癌切除围手术期使用不同剂量盐酸氨溴索对于术后肺部并发症的防治效果。方法回顾分析330例电视胸腔镜食管癌切除患者，围手术期使用不同剂量盐酸氨溴索，分析患者术后肺部并发症发生率。结果小剂量组营养不良、营养状况正常及超重患者术后肺部并发症发生率分别为22.7%、26.5%、35.0%，大剂量组营养不良、营养状况正常及超重患者术后肺部并发症发生率分别为8.8%、11.7%、33.3%。大剂量组并发症发生率低于小剂量组，尤其营养不良及营养正常组明显。结论围手术期使用大剂量盐酸氨溴索对于电视胸腔镜食管癌切除患者可减少肺部并发症发生率。
目的：觀察在電視胸腔鏡食管癌切除圍手術期使用不同劑量鹽痠氨溴索對于術後肺部併髮癥的防治效果。方法迴顧分析330例電視胸腔鏡食管癌切除患者，圍手術期使用不同劑量鹽痠氨溴索，分析患者術後肺部併髮癥髮生率。結果小劑量組營養不良、營養狀況正常及超重患者術後肺部併髮癥髮生率分彆為22.7%、26.5%、35.0%，大劑量組營養不良、營養狀況正常及超重患者術後肺部併髮癥髮生率分彆為8.8%、11.7%、33.3%。大劑量組併髮癥髮生率低于小劑量組，尤其營養不良及營養正常組明顯。結論圍手術期使用大劑量鹽痠氨溴索對于電視胸腔鏡食管癌切除患者可減少肺部併髮癥髮生率。
목적：관찰재전시흉강경식관암절제위수술기사용불동제량염산안추색대우술후폐부병발증적방치효과。방법회고분석330례전시흉강경식관암절제환자，위수술기사용불동제량염산안추색，분석환자술후폐부병발증발생솔。결과소제량조영양불량、영양상황정상급초중환자술후폐부병발증발생솔분별위22.7%、26.5%、35.0%，대제량조영양불량、영양상황정상급초중환자술후폐부병발증발생솔분별위8.8%、11.7%、33.3%。대제량조병발증발생솔저우소제량조，우기영양불량급영양정상조명현。결론위수술기사용대제량염산안추색대우전시흉강경식관암절제환자가감소폐부병발증발생솔。
Objective To observe the effect of dif erent doses of ambroxol for the prevention and treatment of pulmonary complications after the video-assisted thoracoscopic esophagectomy. Methods A retrospective analysis of 330 cases of video-assisted thoracoscopic esophagectomy patients, with using of dif erent doses of ambroxol perioperative, analyze the incidence of postoperative pulmonary complications. Results The incidence of postoperative pulmonary complications of low-dose groups(weight loss,normal nutrition, overweight) were 22.7%, 26.5%, 35.0%, The incidence of postoperative pulmonary complications of high-dose groups (weight loss,normal nutrition, overweight) were 8.8%, 11.7%, 33.3%,the complications of high-dose groups is lower than the low-dose groups, weight loss and normal nutrition group was significantly. Conclusions Perioperative use of high doses ambroxol for video-assisted thoracoscopic esophagectomy patients can reduce the incidence of pulmonary complications.
