古正涛,戴建强,吴增晖,尹庆水,马向阳.经口寰枢椎术后肺部并发症的原因分析及预防措施[J].中国脊柱脊髓杂志,2010,20(8):660-663. |
经口寰枢椎术后肺部并发症的原因分析及预防措施 |
中文关键词: 经口咽入路 术后肺部并发症 相关因素 预防 |
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。 |
Risk factors and prevention for pulmonary complications after transoral operation for the atlantar axis disorders |
英文关键词:Transoral-transpharyneal approach Postoperative pulmonary complications Related risk factors Precaution |
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. |
投稿时间:2010-06-10 修订日期:2010-06-30 |
DOI:10.3969/j.issn.1004-406X.2010.[issue].660.3 |
基金项目:2007年度卫生部公益性行业专项项目(编号:2-18) |
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