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在中国的食管切除过程中,DLT与SLT与术后肺炎的关联:一项回顾性比较研究

Xukeng Guo¹, Weiqi Ke¹, Xin Yang¹

¹Department of Anesthesiology, the First Affiliated Hospital of Shantou University Medical College, No. 57 Changping Road, Jinping District, Shantou City, Guangdong Province, China.

BMC anesthesiology

|September 5, 2023

概括

与双管 (DLT) 相比,单管 (SLT) 在食道癌症手术中可以降低术后肺炎的风险. 这项研究分析了680名患者,发现SLT与较低的肺炎率有关.

科学领域:

麻醉学麻醉学
胸部外科手术胸部外科手术
临界护理医学临界护理医学

背景情况:

消化管癌手术经常涉及使用双光管 (DLT) 或单光管 (SLT) 进行内内输管.
对DLT与SLT对术后肺炎 (PP) 风险的比较影响仍然不完全理解.
确定与PP相关的术后风险因素对于患者的治疗结果至关重要.

研究的目的:

调查内管类型 (DLT vs. SLT) 与食道癌手术后术后肺炎的发生率之间的关联.
识别和评估在这个患者群体中独立影响术后肺炎发展的术后风险因素.

主要方法:

在2010年至2020年期间,对680名接受食道癌手术的患者进行了回顾性研究.
主要结局:术后肺炎. 二次结果:外科手术期间的风险因素.
进行了单变量和多变量分析,以确定内管类型,其他共同变量和PP之间的关系.

主要成果:

术后肺炎的总发病率为32.77%,DLT组的发病率较高 (36.90%) 与SLT组 (26.38%) 相比.
在调整了混因素后,使用单光管 (SLT) 与使用双光管 (DLT) 相比,与术后肺炎的风险显著降低相关 (OR=0.41,95% CI:0.22-0.77,p=0.0057).
对PP的独立风险因素包括DLT使用,吸烟史,静脉和吸入联合麻醉,以及血管活性药物使用.

结论:

内分泌管的选择显著影响食道切除术患者的术后肺炎率.
与双光管相比,单光管 (SLT) 可能与术后肺炎的风险降低有关.
需要进一步的研究来验证这些发现,并优化气道管理策略.

关键词:

双光管是双光管的一种.食道癌是食道癌的一个类型.肺炎是一种肺炎.术后治疗术后治疗单一的光管是一个单一的光管.

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