影响肺癌术后胸腔引流时间的多因素分析

摘要

Objective:To discuss the various factors which might affect the chest drainage time after lung cancer surgery.Methods:The clinical records of 302 patients who had undergone lung cancer surgery were reviewed.The pa-tients were divided into 2 groups,according to the duration of thoracic drainage after lung cancer surgery.The patients whose duration of postoperative thoracic drainage was equal or less than 5d were in group Ⅰ,and the other patients were in group Ⅱ.Univariate analyses and multivariate binary logistic regressions relating the duration of postoperative thoracic drainage to the all possible influencing factors were performed.Results:Group I(the duration of drainage≤5d)was recorded in 154 patients(51.0%).Group Ⅱ(the duration of drainage 5d)was recorded in 148 patients (49.0%).The results of binary logistic regression analyses indicated that the independent influencing factors for the duration of postoperative thoracic drainage were age,surgery approach,the usage of Hemocoagulase,one lung ventila-tion,the number of lymph node dissection,pleural adhesion,and the operative duration.Conclusion:For patients with the multiple independent factors at the same time,should particularly strengthen perioperative individualized manage-ment,formulate reasonable treatment strategy,to reduce postoperative drainage time.%目的：探讨肺癌患者术后胸腔引流时间的各种影响因素。方法：回顾总结302例原发性肺癌手术诊治病人的临床资料。按术后胸腔引流时间分为两组，分别为Ⅰ组（引流时间≤5天）和Ⅱ组（引流时间＞5天）。对可能影响术后引流时间的因素在两组间采用单因素分析和二项 Logistic 多因素回归分析。结果：术后胸腔引流时间≤5天的154例（51．0％），＞5天的148例（49．0％）。Logistic 回归分析结果显示：年龄、开胸手术、术后使用白眉、单肺通气、淋巴清扫数、胸膜粘连及手术时间是术后引流时间的独立影响因素。结论：对于具有多个独立影响因素的患者，应加强围手术期个体化管理，制定合理的治疗策略，以减少术后胸腔引流时间。