中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
17期
38-39
,共2页
食管癌%术后急性呼吸衰竭%危险因素%相关性分析
食管癌%術後急性呼吸衰竭%危險因素%相關性分析
식관암%술후급성호흡쇠갈%위험인소%상관성분석
Esophageal carcinoma%Acute respiratory failure after resection%Risk factors%Correlation analysis
目的：探讨食管癌术后急性呼吸衰竭的相关危险因素，改善食管癌患者的术后生存质量。方法：回顾性分析2012年2月-2013年12月收治食管癌患者108例的临床资料，依据术后是否发生急性呼吸衰竭进行分组，其中急性呼吸衰竭组(ARF)48例和对照组60例，比较两组患者的年龄、手术时间、吸烟史(＞500支/年)等临床资料，采用单因素分析和logistic多因素分析食管癌患者术后急性呼吸衰竭的相关危险因素。结果：在所有108例食管癌患者中，共有48例患者发生急性呼吸衰竭，发生率44.44%。经 logistic 多因素分析得出食管癌术后呼吸衰竭的相关危险因素包括高龄、长期吸烟史、术前合并糖尿病、手术时间较长、术后合并胸部并发症、血浆白蛋白浓度降低、术后二次开胸手术以及术后疼痛等8个。结论：临床医师与护理人员应针对具有上述危险因素的患者进行更具有针对性的治疗和护理，改善患者的预后质量。
目的：探討食管癌術後急性呼吸衰竭的相關危險因素，改善食管癌患者的術後生存質量。方法：迴顧性分析2012年2月-2013年12月收治食管癌患者108例的臨床資料，依據術後是否髮生急性呼吸衰竭進行分組，其中急性呼吸衰竭組(ARF)48例和對照組60例，比較兩組患者的年齡、手術時間、吸煙史(＞500支/年)等臨床資料，採用單因素分析和logistic多因素分析食管癌患者術後急性呼吸衰竭的相關危險因素。結果：在所有108例食管癌患者中，共有48例患者髮生急性呼吸衰竭，髮生率44.44%。經 logistic 多因素分析得齣食管癌術後呼吸衰竭的相關危險因素包括高齡、長期吸煙史、術前閤併糖尿病、手術時間較長、術後閤併胸部併髮癥、血漿白蛋白濃度降低、術後二次開胸手術以及術後疼痛等8箇。結論：臨床醫師與護理人員應針對具有上述危險因素的患者進行更具有針對性的治療和護理，改善患者的預後質量。
목적：탐토식관암술후급성호흡쇠갈적상관위험인소，개선식관암환자적술후생존질량。방법：회고성분석2012년2월-2013년12월수치식관암환자108례적림상자료，의거술후시부발생급성호흡쇠갈진행분조，기중급성호흡쇠갈조(ARF)48례화대조조60례，비교량조환자적년령、수술시간、흡연사(＞500지/년)등림상자료，채용단인소분석화logistic다인소분석식관암환자술후급성호흡쇠갈적상관위험인소。결과：재소유108례식관암환자중，공유48례환자발생급성호흡쇠갈，발생솔44.44%。경 logistic 다인소분석득출식관암술후호흡쇠갈적상관위험인소포괄고령、장기흡연사、술전합병당뇨병、수술시간교장、술후합병흉부병발증、혈장백단백농도강저、술후이차개흉수술이급술후동통등8개。결론：림상의사여호리인원응침대구유상술위험인소적환자진행경구유침대성적치료화호리，개선환자적예후질량。
Objective:To investigate the related risk factors of acute respiratory failure after resection of esophageal carcinoma,in order to improve the quality of life of patients after resection of esophageal carcinoma.Methods:108 cases with esophageal carcinoma were selected from February 2012 to December 2013.Analyse their clinical data retrospectively.All the patients were divided into two groups according to whether the occurrence of acute respiratory failure.48 patients in the acute respiratory failure group(ARF group) and 60 patients in the control group.Comparison of patient age,operation time,smoking history(>500/year) and other clinical information in two groups.Using univariate analysis and logistic multivariate analysis,to analyses the risk factors of acute respiratory failure after the operation of esophageal carcinoma.Results:In 108 patients with esophageal cancer,there were 48 patients occurred acute respiratory failure,and the incidence was 44.44% .Multivariate logistic analysis showed that the risk factors of acute respiratory failure after the operation of esophageal carcinoma including advanced age,smoking history, preoperative diabetes,operation time,postoperative combined thoracic complications,plasma albumin concentration decreased, second thoracotomy after operation and postoperative pain.Conclusion:Doctors and nurses should provide more targeted treatment and nursing care for patients with these risk factors,in order to improve the prognosis of patients.
