摘要
目的探讨肺癌患者术后咳嗽的发生情况及其影响因素,为临床医护人员识别高危人群提供参考依据。方法通过计算机检索中国知网(CNKI)、万方数据知识服务平台(Wanfang Data)、维普中文期刊服务平台(VIP)、Cochrane Library、Web of Science、PubMed、中国生物医学文献服务系统数据库(CBM)、Scopus等数据库中有关肺癌患者发生咳嗽的影响因素,检索时间为建库至2023年12月。采用Review Manager5.4软件进行Meta分析。结果共纳入16篇文献,涉及患者4350例,咳嗽组1357例,非咳嗽组2993例,从中提取出8个影响因素。Meta分析结果显示,女性、术中切除肺叶、手术部位为右侧、术中进行淋巴结清扫、切除肺叶上叶、麻醉时间长、术后酸反流是肺癌患者术后咳嗽的危险因素,差异具有统计学意义(P<0.05);术前有吸烟史是肺癌患者术后咳嗽的保护因素,差异具有统计学意义(P<0.0001)。结论肺癌患者术后咳嗽的影响因素包括术前因素、术中因素和术后因素,临床医护人员应早期识别出肺癌患者的高危人群,尽早根据患者的实际情况制定相关预防措施,以期降低肺癌患者术后咳嗽的发生风险,从而提高患者的生活质量。
Objective To explore the occurrence and influencing factors of postoperative cough in patients with lung cancer,and to provide reference for clinical medical staff to identify high-risk groups.Methods The China National Knowledge Infrastructure(CNKI),Wanfang Data Knowledge Service Platform(Wanfang Data),VIP Chinese Journal Service Platform(VIP),Cochrane Library,Web of Science,PubMed,Chinese Biomedical Literature Service System(CBM),Scopus and other databases were searched by computer to relate on the influencing factors of cough in patients with lung cancer.The retrieval time is from the establishment of the database to December 2023.Meta-analysis was performed using Review Manager5.4 software.Results A total of 16 articles were included,involving 4350 patients,1357 in the cough group and 2993 in the non-cough group,eight influencing factors were extracted.The results of Meta-analysis showed that female,intraoperative resection of lung lobe,right surgical site,intraoperative lymph node dissection,resection of upper lobe of lung lobe,long anesthesia time and postoperative acid reflux were risk factors for postoperative cough in patients with lung cancer,and the differences were statistically significant(P<0.05);preoperative smoking history was a protective factor for postoperative cough in patients with lung cancer,and the difference was statistically significant(P<0.0001).Conclusion The influencing factors of postoperative cough in patients with lung cancer include preoperative factors,intraoperative factors and postoperative factors.Clinical medical staff should identify the high-risk groups of patients with lung cancer early,and formulate relevant preventive measures as soon as possible according to the actual situation of patients,in order to reduce the risk of postoperative cough in patients with lung cancer,so as to improve the quality of life of patients.
作者
林芝
穆艳
姜聪
王娅
LIN Zhi;MU Yan;JIANG Cong;WANG Ya(Nursing College,Fujian University of Traditional Chinese Medicine,Fuzhou 350122;Fujian Provincial Hospital,Fuzhou 350001,China)
出处
《临床医学研究与实践》
2025年第8期10-16,共7页
Clinical Research and Practice
关键词
肺癌
咳嗽
影响因素
META分析
lung cancer
cough
influencing factor
Meta-analysis
