喉癌及下咽癌术后并发肺炎的多因素分析
发布时间：2019-06-25 11:51
【摘要】：目的探讨影响喉癌及下咽癌术后肺炎的相关因素,以指导临床术后肺炎的预防和治疗。方法收集2011年8月至2013年8月于该院行手术治疗的87例喉癌及下咽癌患者的临床资料,按术后是否并发肺炎分为肺炎组和无肺炎组。分别将患者年龄、吸烟、手术方式及手术前、后电解质和血清蛋白等38个相关因素行多因素分析。差异性观察项目进一步行Logistic逐步回归分析。结果 87例喉癌及下咽癌患者术后并发肺炎20例,并发率23.0%。单因素分析显示,患者年龄、术后清蛋白、术后血红蛋白、术后血氯、术后拔除气管套管时间是术后并发肺炎的危险因素(P0.05)。Logistic回归模型显示,患者年龄、术后清蛋白及延迟拔除气管套管与术后并发肺炎关系密切(OR=1.065、0.825、0.127,P0.05)。结论喉癌及下咽癌术后并发肺炎是多重因素作用的结果,患者年龄、术后清蛋白及拔除气管套管时间是重要影响因素,加强围术期管理是避免术后并发肺炎的有效措施。
[Abstract]:Objective To study the related factors that affect the postoperative pneumonia in the patients with laryngeal and hypopharyngeal carcinoma, in order to guide the prevention and treatment of postoperative pneumonia. Methods The clinical data of 87 cases of laryngeal and hypopharyngeal carcinoma treated by operation in the hospital from August 2011 to August 2013 were collected. 38 related factors, such as age, smoking, operation and pre-operative, post-operative, and post-operative, post-operative, post-operative, and serum protein were analyzed. Logistic regression analysis was performed on the difference observation items. Results There were 20 cases of postoperative pneumonia and 23.0% of postoperative pneumonia in 87 cases of laryngeal and hypopharyngeal carcinoma. The single factor analysis showed that the age of the patient, the postoperative clear protein, the post-operative hemoglobin and the postoperative blood chlorine, the time after the operation of the tracheal cannula was the risk factor for postoperative pneumonia (P0.05). The logistic regression model showed that the age of the patient, The postoperative clear protein and delayed extraction of the tracheal cannula were closely related to postoperative pneumonia (OR = 1.065, 0.825, 0.127, P0.05). Conclusion The post-operative pneumonia of laryngeal and hypopharyngeal carcinoma is the result of multiple factors, the age of the patient, the time of the postoperative clear protein and the time of the removal of the trachea cannula are important factors, and the enhancement of the perioperative management is an effective measure to avoid postoperative pneumonia.
【作者单位】： 广西医科大学第一附属医院耳鼻咽喉头颈外科;
【分类号】：R739.6
本文编号：2505660
[Abstract]:Objective To study the related factors that affect the postoperative pneumonia in the patients with laryngeal and hypopharyngeal carcinoma, in order to guide the prevention and treatment of postoperative pneumonia. Methods The clinical data of 87 cases of laryngeal and hypopharyngeal carcinoma treated by operation in the hospital from August 2011 to August 2013 were collected. 38 related factors, such as age, smoking, operation and pre-operative, post-operative, and post-operative, post-operative, post-operative, and serum protein were analyzed. Logistic regression analysis was performed on the difference observation items. Results There were 20 cases of postoperative pneumonia and 23.0% of postoperative pneumonia in 87 cases of laryngeal and hypopharyngeal carcinoma. The single factor analysis showed that the age of the patient, the postoperative clear protein, the post-operative hemoglobin and the postoperative blood chlorine, the time after the operation of the tracheal cannula was the risk factor for postoperative pneumonia (P0.05). The logistic regression model showed that the age of the patient, The postoperative clear protein and delayed extraction of the tracheal cannula were closely related to postoperative pneumonia (OR = 1.065, 0.825, 0.127, P0.05). Conclusion The post-operative pneumonia of laryngeal and hypopharyngeal carcinoma is the result of multiple factors, the age of the patient, the time of the postoperative clear protein and the time of the removal of the trachea cannula are important factors, and the enhancement of the perioperative management is an effective measure to avoid postoperative pneumonia.
【作者单位】： 广西医科大学第一附属医院耳鼻咽喉头颈外科;
【分类号】：R739.6
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