Risk factors of postoperative pulmonary complications in patients with lung cancer surgery and intervention measures

Abstract

Objective To explore the risk factors of postoperative pulmonary complications (PPC) in patients with lung cancer surgery, and to formulate intervention countermeasures to prevent PPC and reduce the risk of PPC. Methods A total of 298 cases of lung cancer patients who underwent surgical treatment from January 2013 to November 2017 were selected.General data were collected, univariate analysis was used to screen the related factors of PPC occurrence, and statistically significant variables were included in the multivariate Logistic regression model to analyze the risk factors of PPC occurrence and formulate intervention countermeasures. Results PPC occurred in 49 of 298 lung cancer patients who underwent surgery, and the the incidence was 16.44%.Elderly patients, chronic obstructive pulmonary disease(COPD), smoking, pN stage of tumor, poor respiratory exercise compliance were all independent risk factors for PPC. Conclusion The occurrence of PPC in lung cancer surgery patients is related to the elderly, COPD, smoking, pN stage of tumor and respiratory function exercise, and poor compliance.Attention should be paid to these factors, and corresponding intervention strategies should be formulated to reduce the risk of PPC and improve the prognosis of patients. Key words: Lung cancer surgery; Pulmonary complications; Risk factors