吸烟史对术后肺部并发症的影响：对近期肺癌患者的综述
Impact of smoking history on postoperative pulmonary complications: a review of recent lung cancer patients.
作者信息
Seok Yangki, Hong Namsoo, Lee Eungbae
机构信息
Kyungpook National University Medical Center, Department of Thoracic and Cardiovascular Surgery.
出版信息
Ann Thorac Cardiovasc Surg. 2014;20(2):123-8. doi: 10.5761/atcs.oa.12.02129. Epub 2013 Mar 22.
PURPOSE
Smoking is a well-known risk factor for postoperative pulmonary complications. As a consequence of pre and postoperative procedures continuing to be developed, postoperative complications continue to decrease. In this study, smoking as a risk factor for postoperative pulmonary complications is studied.
METHODS
From January 2005 to June 2009, postoperative pulmonary complications and smoking factors were analyzed from among 232 lung cancer patients with a smoking history. Smoking factors included cessation duration and pack-years. Also, relationships between pulmonary complications and patient factors, including gender, age, histological features, surgery methods, pulmonary function test, and body mass index were analyzed.
RESULTS
Univariate and multivariate analysis revealed that smoking factors were not significant risk factors for the development of postoperative pulmonary complications.
CONCLUSION
Recently, the effect of smoking on the development of postoperative pulmonary complications has been reduced due to the increase in quality of pre and postoperative management and surgery procedures. Accordingly, there seems to be no need to delay operative procedures to secure a significant duration of smoking cessation duration in lung cancer patients.
目的
吸烟是术后肺部并发症的一个众所周知的危险因素。随着术前和术后程序不断发展，术后并发症持续减少。在本研究中，对吸烟作为术后肺部并发症的危险因素进行了研究。
方法
2005年1月至2009年6月，对232例有吸烟史的肺癌患者的术后肺部并发症和吸烟因素进行了分析。吸烟因素包括戒烟持续时间和吸烟包年数。此外，还分析了肺部并发症与患者因素之间的关系，包括性别、年龄、组织学特征、手术方法、肺功能测试和体重指数。
结果
单因素和多因素分析显示，吸烟因素不是术后肺部并发症发生的显著危险因素。
结论
近年来，由于术前和术后管理及手术程序质量的提高，吸烟对术后肺部并发症发生的影响有所降低。因此，似乎没有必要为确保肺癌患者有足够长的戒烟时间而推迟手术。
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