| 李巨仕 刘国华 郑林丰 魏伟.原发性肝癌根治术后病人肺部并发症危险因素的单因素及Logistic分析[J].,2014,14(29):5731-5734 |
| 原发性肝癌根治术后病人肺部并发症危险因素的单因素及Logistic分析 |
| Single Factor and Logistic Analysis of Risk Factors of PulmonaryComplications in Patients with Primary Hepatic Carcinoma after RadicalResection |
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| DOI： |
| 中文关键词: 原发性肝癌 肝癌根治术 肺部并发症 危险因素 Logistic分析 |
| 英文关键词: Primary hepatic carcinoma Radical mastectomy Pulmonary complications Risk factors Logistic analysis |
| 基金项目:湖南省卫生厅项目（B2011-139）；湖南省科学技术厅项目（2010SK3099） |
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| 中文摘要: |
| 目的：探讨原发性肝癌根治术后病人肺部并发症发生的危险因素。方法：收集2011 年3月至2014年2月间因原发性肝癌行
肝癌根治术病人120 例，根据有无并发症将两组病人分为肺部并发症和无肺部并发症组，对病人的一般情况、术前检查及手术情况
设置变量首先用单因素方法筛选与肝癌根治术后肺部并发症相关的危险因素，进一步行多因素logistic 分析这些相关危险因素中
的独立危险因素。结果：入组病人中术后有25例(20.83 %)发生了肺部并发症。单因素分析结果显示肝癌根治术后肺部并发症发生
的危险因素有：慢性呼吸道疾病史、术前2 周呼吸道感染史、术前白蛋白水平、手术时间、麻醉时间、术中出血量及术后使用镇痛泵
（P＜0.05）。Logistic 分析显示肝癌根治术后肺部并发症发生的独立危险因素为：慢性呼吸道疾病史、术前白蛋白水平及术后使用镇
痛泵（P＜0.05）。结论：原发性肝癌根治术患者存在术后肺部并发症危险因素，临床工作中对其进行评估可减少或避免发生并发症。 |
| 英文摘要: |
| Objective:To investigate the risk factors of pulmonary complications in patients with primary hepatic carcinoma(HCC)
after radical resection.Methods:120 cases with radical resection for HCC from March 2011 to February 2014 were enrolled in this study
and then divided into two groups according to whether the patients had pulmonary complications. Screening for the risk factors of
pulmonary complications after radical resection of HCC were performed using single factor analysis, and further screening for
independent factors in the risk factors were conducted using the multi-variate logistic regression analysis.Results:Among the 120 cases
with radical resection for HCC, there were 25 cases (20.83 %) with pulmonary complications. The risk factors for these complications that
identified by single factor analysis included chronic respiratory disease history, history of respiratory tract infection at 2 weeks before
operation, preoperative albumin level, operation duration, anesthesia duration, amount of bleeding during operation and postoperative
using of analgesia pump(P＜0.05). Logistic analysis results showed that chronic respiratory disease history, preoperative albumin level and
postoperative analgesia pump were the independent risk factors of postoperative pulmonary complications for patients with HCC after
radical resection (P＜0.05).Conclusion:There are several risk factors of pulmonary complications in patients with HCC after radical
resection. To evaluate suitably can reduce or avoid these complications in clinical practices. |
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