【摘要】：目的:探討結(jié)直腸癌患者術(shù)后肺部并發(fā)癥(PPCs)發(fā)生的危險(xiǎn)因素。方法:回顧性分析2014年1月至2016年6月共352例結(jié)直腸癌術(shù)后患者臨床資料,對數(shù)據(jù)進(jìn)行單因素分析后,選取有統(tǒng)計(jì)意義的因素進(jìn)行多因素Logistic回歸分析。結(jié)果:共41例發(fā)生PPCs,發(fā)生率為11.6%(41/352),單因素分析提示:年齡≥65歲,體質(zhì)指數(shù)(BMI)≥25 kg/m~2,有吸煙史,合并慢性阻塞性肺疾病(COPD),手術(shù)時(shí)間(≥3 h)及術(shù)前新輔助化療這6類因素為有統(tǒng)計(jì)學(xué)意義的危險(xiǎn)因素(P0.05),對這6類危險(xiǎn)因素進(jìn)行多因素分析提示年齡65歲,體質(zhì)指數(shù)(BMI)≥25 kg/m~2,合并COPD,手術(shù)時(shí)間(≥3 h)為其獨(dú)立的危險(xiǎn)因素(P0.05)。結(jié)論:對于老年結(jié)直腸癌患者,尤其術(shù)前存在慢阻肺病史或肥胖患者,若手術(shù)時(shí)間長,應(yīng)充分重視PPCs的發(fā)生,加強(qiáng)預(yù)防。
[Abstract]:Objective: to investigate the risk factors of (PPCs) in postoperative pulmonary complications in patients with colorectal cancer. Methods: the clinical data of 352 patients with postoperative colorectal cancer from January 2014 to June 2016 were analyzed retrospectively. After univariate analysis, multivariate Logistic regression analysis was performed on the statistically significant factors. Results: the incidence of PPCs, in 41 cases was 11.6% (41 / 352). Univariate analysis showed that age 鈮，

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