肥胖症手术患者肺不张患病率分析。
Analysis of the prevalence of atelectasis in patients undergoing bariatric surgery.
作者信息
Baltieri Letícia, Peixoto-Souza Fabiana Sobral, Rasera-Junior Irineu, Montebelo Maria Imaculada de Lima, Costa Dirceu, Pazzianotto-Forti Eli Maria
机构信息
Universidade Estadual de Campinas (Unicamp), Programa de Pós-Graduação em Ciências da Cirurgia, Campinas, SP, Brazil.
Universidade Nove de Julho (Uninove), Programa de Pós-Graduação em Ciências da Reabilitação, São Paulo, SP, Brazil.
出版信息
Braz J Anesthesiol. 2016 Nov-Dec;66(6):577-582. doi: 10.1016/j.bjane.2014.11.016. Epub 2015 Nov 25.
BACKGROUND AND OBJECTIVE
To observe the prevalence of atelectasis in patients undergoing bariatric surgery and the influence of the body mass index (BMI), gender and age on the prevalence of atelectasis.
METHOD
Retrospective study of 407 patients and reports on chest X-rays carried out before and after bariatric surgery over a period of 14 months. Only patients who underwent bariatric surgery by laparotomy were included.
RESULTS
There was an overall prevalence of 37.84% of atelectasis, with the highest prevalence in the lung bases and with greater prevalence in women (RR=1.48). There was a ratio of 30% for the influence of age for individuals under the age of 36, and of 45% for those older than 36 (RR=0.68). There was no significant influence of BMI on the prevalence of atelectasis.
CONCLUSION
The prevalence of atelectasis in bariatric surgery is 37% and the main risk factors are being female and aged over 36 years.
背景与目的
观察肥胖症手术患者肺不张的发生率以及体重指数（BMI）、性别和年龄对肺不张发生率的影响。
方法
对407例患者进行回顾性研究，并报告14个月期间肥胖症手术前后的胸部X光片情况。仅纳入接受开腹肥胖症手术的患者。
结果
肺不张的总体发生率为37.84%，肺底部发生率最高，女性发生率更高（相对危险度=1.48）。36岁以下个体年龄影响比例为30%，36岁以上个体为45%（相对危险度=0.68）。BMI对肺不张发生率无显著影响。
结论
肥胖症手术中肺不张的发生率为37%，主要危险因素是女性和年龄超过36岁。
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