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中华肺部疾病杂志(电子版) ›› 2023, Vol. 16 ›› Issue (03) : 355 -357. doi: 10.3877/cma.j.issn.1674-6902.2023.03.012

临床研究

单肺通气术中低氧血症与术后肺部并发症的关系及其预测意义
陈趟, 王艺萱, 吴刚()   
  1. 710000 西安,西安交通大学医学院第二附属医院麻醉科
  • 收稿日期:2023-01-17 出版日期:2023-06-25
  • 通信作者: 吴刚

Association and prediction between hypoxemia and postoperative pulmonary complications during single lung ventilation

Tang Chen, Yixuan Wang, Gang Wu()   

  • Received:2023-01-17 Published:2023-06-25
  • Corresponding author: Gang Wu
引用本文:

陈趟, 王艺萱, 吴刚. 单肺通气术中低氧血症与术后肺部并发症的关系及其预测意义[J]. 中华肺部疾病杂志(电子版), 2023, 16(03): 355-357.

Tang Chen, Yixuan Wang, Gang Wu. Association and prediction between hypoxemia and postoperative pulmonary complications during single lung ventilation[J]. Chinese Journal of Lung Diseases(Electronic Edition), 2023, 16(03): 355-357.

目的

分析胸腔外科单肺通气下行肺切除术术中低氧血症与术后肺部并发症的关系及其预测意义。

方法

收集我院行胸腔外科单肺通气下肺切除术患者220例,根据单肺通气下是否发生肺部并发症分为观察组无并发症,对照组有并发症,采用单因素及多因素Logistic回归分析法筛选胸腔外科单肺通气下肺切除术PPCs的危险因素,绘制ROC曲线评价术中低氧血症因素对于PPCs的预测。

结果

220例中无并发证201例,出现并发症19例;单因素分析结果术后出现肺部并发症患者,男性、术前合并症(肺部)、术中输血、术中出血、术中低氧血症高于无并发症患者(P<0.05);多因素Logistic回归显示:术前合并症(肺部)、术中输血和术中低氧血症[RR=6.310,95%CI(1.807,22.030),P=0.004]是胸腔外科单肺通气下行肺切除术PPCs的危险因素。术中低氧血症PPCs的ROC曲线下面积及其95%可信区间为0.769(0.650~0.888),灵敏度和特异度分别为73.6%和80.1%。

结论

术中低氧血症为胸外科单肺通气下肺切除术PPCs的危险因素。预测单肺通气下行肺切除术PPCs的发生具有意义。

表1 单肺通气术后肺部并发症的单因素分析
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