摘要
目的探讨老年结直肠癌患者根治术后肺部感染发生情况及危险因素,并提出防治措施。方法纳入我科2013年1月至2018年7月824例行根治术的老年结直肠癌患者临床资料,回顾性分析其肺部感染发生率及相关危险因素。结果85例患者术后并发肺部感染,感染率10.32%,高龄、肥胖、白蛋白水平、手术时间延长、开腹手术、合并慢性呼吸道疾病、糖尿病以及有吸烟史患者肺部感染发生率高,差异有统计学意义(P<0.05)。结论年龄、肥胖、白蛋白水平、手术方式及手术时间、慢性呼吸道疾病、糖尿病、吸烟史与老年结直肠癌患者根治术后并发肺部感染关系密切,其中,患者年龄、肥胖、手术方式、手术时间、慢性呼吸道疾病以及吸烟史为独立危险因素。
Objective This study aimed to evaluate the incidence and risk factors of postoperative pulmonary infection after radical resection in elderly patients with colorectal cancer,and to propose prevention and treatment measures.Methods In total,824 elderly patients with colorectal cancer who underwent radical proctocolectomy between January 2013 to July 2008 were analyzed retrospectively for the incidence and risk factors of postoperative pulmonary infection after radical resection.Results Postoperative pulmonary infec-tion occurred in 85 patients,the infection rate was 10.32 percent.The patients advanced in years and with the obesity,albumin level,operation time extended,open operation,chronic respiratory disease,diabetes and smoking history of patients had high incidence of postoperative pulmonary infection,the difference was statis-tically significant(P〈0.05).Conclusion The age,obesity,albumin level,operation mode,operation time,chronic respiratory disease,diabetes and smoking history are closely related to the pulmonary infection after radical resection in elderly colorectal cancer patients,and the age of patients,obesity,operation method,oper-ation time,chronic respiratory disease and smoking history were the independent risk factors.
作者
卢新泉
易小江
刁德昌
王伟
李洪明
郑燕生
罗立杰
熊文俊
万进
LU Xin-quan;YI Xiao-jiang;DIAO De-chang;WANG Wei;LI Hong-ming;ZHENG Yan-sheng;LUO Li-jie;XIONG Wen-jun;WAN Jin(Department of Gastrointestinal(Tumor)Surgery,Guangdong Province Hospital of Chinese Medicine,The Second Affiliated Hospital of Guangzhou Ulziversity of Chinese Medicine,Guangzhou 510120,China)
出处
《消化肿瘤杂志(电子版)》
2018年第3期149-152,共4页
Journal of Digestive Oncology(Electronic Version)
关键词
老年患者
结直肠癌根治术
术后肺部感染
危险因素
Elderly patients
Radical proctocolectomy
Postoperative puhnonary infection
Risk factors
