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[目的]探讨60岁以上老年胃癌患者术后呼吸系统并发症(PPC)的临床危险因素。[方法]回顾性分析2006年1月至2009年12月215例60岁以上胃癌患者的临床病理资料,采用Logistic回归方法分析与PPC发生有关的危险因素。[结果]215例患者有71例(33.0%)并发PPC,多因素Logistic回归分析显示与PPC有关的危险因素有:吸烟(OR=2.317),呼吸系统疾病(OR=1.751),血清白蛋白(OR=1.657),ASA分级(OR=1.097),留置鼻胃管时间(OR=1.555)。[结论]高龄、有基础呼吸系统疾病、血清白蛋白水平低、术前ASA分级>2、术后留置胃管的胃癌患者易发生PPC,应重视其围手术期处理。
[Objective] To investigate the clinical risk factors of postoperative respiratory complications (PPC) in gastric cancer patients older than 60 years old. [Methods] The clinical and pathological data of 215 patients with gastric cancer over 60 years old from January 2006 to December 2009 were retrospectively analyzed. Logistic regression was used to analyze the risk factors related to the occurrence of PPC. [Results] Among 215 patients, 71 (33.0%) had PPC. Multivariate logistic regression analysis showed that the risk factors associated with PPC were: smoking (OR=2.317), respiratory disease (OR=1.751), serum albumin ( OR=1.657), ASA classification (OR=1.097), indwelling nasogastric tube time (OR=1.555). [Conclusion] PPC is prone to occur in elderly patients with basic respiratory diseases, low levels of serum albumin, preoperative ASA grade >2, and indwelling gastric tube after operation. Attention should be paid to its perioperative management.