【摘要】：目的探討影響喉癌及下咽癌術(shù)后肺炎的相關(guān)因素,以指導(dǎo)臨床術(shù)后肺炎的預(yù)防和治療。方法收集2011年8月至2013年8月于該院行手術(shù)治療的87例喉癌及下咽癌患者的臨床資料,按術(shù)后是否并發(fā)肺炎分為肺炎組和無(wú)肺炎組。分別將患者年齡、吸煙、手術(shù)方式及手術(shù)前、后電解質(zhì)和血清蛋白等38個(gè)相關(guān)因素行多因素分析。差異性觀察項(xiàng)目進(jìn)一步行Logistic逐步回歸分析。結(jié)果 87例喉癌及下咽癌患者術(shù)后并發(fā)肺炎20例,并發(fā)率23.0%。單因素分析顯示,患者年齡、術(shù)后清蛋白、術(shù)后血紅蛋白、術(shù)后血氯、術(shù)后拔除氣管套管時(shí)間是術(shù)后并發(fā)肺炎的危險(xiǎn)因素(P0.05)。Logistic回歸模型顯示,患者年齡、術(shù)后清蛋白及延遲拔除氣管套管與術(shù)后并發(fā)肺炎關(guān)系密切(OR=1.065、0.825、0.127,P0.05)。結(jié)論喉癌及下咽癌術(shù)后并發(fā)肺炎是多重因素作用的結(jié)果,患者年齡、術(shù)后清蛋白及拔除氣管套管時(shí)間是重要影響因素,加強(qiáng)圍術(shù)期管理是避免術(shù)后并發(fā)肺炎的有效措施。
[Abstract]:Objective To study the related factors that affect the postoperative pneumonia in the patients with laryngeal and hypopharyngeal carcinoma, in order to guide the prevention and treatment of postoperative pneumonia. Methods The clinical data of 87 cases of laryngeal and hypopharyngeal carcinoma treated by operation in the hospital from August 2011 to August 2013 were collected. 38 related factors, such as age, smoking, operation and pre-operative, post-operative, and post-operative, post-operative, post-operative, and serum protein were analyzed. Logistic regression analysis was performed on the difference observation items. Results There were 20 cases of postoperative pneumonia and 23.0% of postoperative pneumonia in 87 cases of laryngeal and hypopharyngeal carcinoma. The single factor analysis showed that the age of the patient, the postoperative clear protein, the post-operative hemoglobin and the postoperative blood chlorine, the time after the operation of the tracheal cannula was the risk factor for postoperative pneumonia (P0.05). The logistic regression model showed that the age of the patient, The postoperative clear protein and delayed extraction of the tracheal cannula were closely related to postoperative pneumonia (OR = 1.065, 0.825, 0.127, P0.05). Conclusion The post-operative pneumonia of laryngeal and hypopharyngeal carcinoma is the result of multiple factors, the age of the patient, the time of the postoperative clear protein and the time of the removal of the trachea cannula are important factors, and the enhancement of the perioperative management is an effective measure to avoid postoperative pneumonia.
【作者單位】： 廣西醫(yī)科大學(xué)第一附屬醫(yī)院耳鼻咽喉頭頸外科;
【分類號(hào)】：R739.6

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