经口寰枢椎术后肺部并发症的原因分析及预防措施

Risk factors and prevention for pulmonary complications after transoral operation for the atlantar axis disorders

中文关键词:  经口咽入路  术后肺部并发症  相关因素  预防

英文关键词:Transoral-transpharyneal approach  Postoperative pulmonary complications  Related risk factors  Precaution

中文摘要:

  【摘要】 目的：探讨经口寰枢椎术后肺部并发症（PPCs）的相关因素和预防控制措施。方法：回顾性分析我院2005年1月～2009年6月收治的104例经口寰枢椎手术患者的临床资料，评价术后肺部并发症情况，分为PPCs组与非PPCs组，采用t检验、χ2检验及Logistic回归模型分析PPCs的相关影响因素。结果：本组104例患者中23例出现PPCs，发生率为22.1％。PPCs组与非PPCs组比较结果显示，气管导管留置时间（＞4d）、术中输液量（＞3500ml）、手术时间（＞6h）、脊髓损伤程度（Frankle分级A～D）、吸烟史、低蛋白血症（＜35g/L）、低钠血症（＜135 mmol/L）及低体重指数（BMI＜18.5）等8个因素差异有统计学意义。结论：经口寰枢椎手术PPCs发生率高，应重视各种易致PPCs发生的危险因素，采取预防措施，减少PPCs的发生。

英文摘要:

  【Abstract】 Objective：To investigate the correlative factors and prevention for postoperative pulmonary complications（PPC） due to atantal-axis disorders.Method：104 patients with atantal-axis disorders were collected from January 2005 to June 2009. Nine variables among patients with PPC and without PPC were analyzed by T test and χ2 test and Logistic regression analysis.Result：Of 104 patients with atantal-axis disorders，23 developed PPCs with a ratio of 22.1%.Significant difference were noted with regard to 8 variables including the duration of intubation（＞4d），the duration of operation（＞6h），The infusion volume during operation（＞3500ml），Frankle grade（A～D），smoking history，hypoproteinemia（serum albumin＜35g/L），hyponatremia（＜135mmol/L），BMI＜18.5 between patients with PPC and without PPC.Conclusion：PPC rate in transoral operation is high.The risk of PPCs can not be ignored and precaution should be taken to lower its occurrence.