非小细胞肺癌患者电视胸腔镜微创术后发生慢性咳嗽的影响因素

Abstract
Figure/Table
References (15)
Related Citation (15)

Download: PDF (0 KB) HTML (27 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To investigate the influencing factors of chronic cough in patients with non-small cell lung cancer (NSCLC) after video-assisted thoracoscopic surgery (VATS).Methods The clinical data of 48 NSCLC patients with chronic cough after VATS surgery in People′s Hospital of Danyang City, Jiangsu Province from January 2018 to December 2020 were retrospectively analyzed and included in the chronic cough group.The clinical data of 48 NSCLC patients without chronic cough after VATS were selected and included in the group without chronic cough.The general data of the two groups were collected and compared to analyze the influencing factors of chronic cough after VATS in NSCLC patients.Results Univariate analysis showed that there were statistically significant differences in preoperative combined cough, surgical resection range, and tracheal intubation time between the chronic cough group and the nonchronic cough group (P<0.05).The results of multivariate analysis indicated that preoperative coughing (β=1.398, OR=4.048, 95%CI=1.125-14.569), surgical resection range of lung lobe (β=2.089, OR=8.077, 95%CI=3.244-20.110), longer tracheal intubation time (β=0.089, OR=1.093, 95%CI=1.052-1.136) were the independent risk factors of chronic cough in NSCLC patients after VATS (P<0.05).Conclusion Chronic cough after VATS in NSCLC patients may be related to preoperative coughing, the scope of surgical resection is the lung lobe and the longer tracheal intubation time.

Key words： Non-small cell lung cancer Video-assisted thoracoscopic minimally invasive surgery Chronic cough;Scope of surgical resection

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	YIN Youhong
	RONG Guoxiang
	ZHANG Fan

Cite this article:

YIN Youhong,RONG Guoxiang,ZHANG Fan. Influencing factors of chronic cough in patients with non-small cell lung cancer after minimally invasive video-assisted thoracoscopic surgery[J]. 中国当代医药, 2021, 28(36): 80-82.

URL:

http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2021/V28/I36/80

[12]	邓城庆，朱晓雷，耿国军.胸腔镜肺叶切除术后咳嗽的研究进展[J].中国微创外科杂志，2020，20（4）：354-357.
[13]	邵波，李波，解纲.胸腔镜下肺叶切除术与亚肺叶切除术对早期非小细胞肺癌的临床疗效及远期疗效比较[J].临床和实验医学杂志，2018，17（5）：512-516.
[14]	林嵘嘉，车国卫，徐志华，等.肺癌患者电视胸腔镜手术后咳嗽的影响因素分析：单中心前瞻性研究[J].中国胸心血管外科临床杂志，2017，24（10）：748-752.
[1]	吴明君，张汉新，王向东，等.全胸腔镜肺叶切除术在早期非小细胞肺癌治疗中的应用[J].海南医学，2019，30（20）：2658-2660.
[2]	胡青，杨洋，林永德，等.完全胸腔镜单操作孔法行肺叶切除术在非小细胞肺癌中的应用效果[J].广西医科大学学报，2019，36（2）：270-273.
[3]	Wang Y，Wang Z，Yao F.The safety and feasibility of threedimension single-port video-assisted thoracoscopic surgery for the treatment of early-stage lung cancer[J].J Thorac Dis，2020，12（12）：7257-7265.
[4]	慕腾，姜冠潮，李晓，等.胸腔镜肺切除术后持续咳嗽的多因素分析[J].中国微创外科杂志，2017，17（7）：577-580.
[5]	孟宇宏，张建中，李冬，等.WHO 肿瘤分类系列-肺、胸膜、胸腺及心脏肿瘤病理学和遗传学[M].北京：人民卫生出版社，2006：20-32.
[6]	中华医学会呼吸病学分会哮喘学组.咳嗽的诊断与治疗指南（2015）[J].中华结核和呼吸杂志，2016，39（5）：323-354.
[7]	Shirai S，Yamauchi Y，Yokote F，et al.Dynamics of coagulation factor ⅩⅢactivity after video -assisted thoracoscopic lobectomy for non-small cell lung cancer [J].J Thorac Dis，2019，11（12）：5382-5389.
[8]	李仁拴，陈家宽，李伟.电视胸腔镜手术治疗非小细胞肺癌患者的疗效观察[J].实用临床医药杂志，2019，23（4）：9-10，13.
[9]	倪晓莎，李帅妮，倪依莎，等.肺癌患者咳嗽症状管理研究进展[J].护理学报，2019，26（4）：20-23.
[10]	黄群，陈兰，周淋琳，等.肺癌患者术后咳嗽相关生活质量现况及其影响因素[J].解放军护理杂志，2018，35（8）：18-22.
[11]	李勇强，孙志红，王智.电视胸腔镜解剖性肺叶切除与亚肺叶切除治疗Ⅰ期肺腺癌的疗效及肺功能保护研究[J].广西医科大学学报，2018，35（10）：1380-1384.
[15]	吴子恒，徐惟，许世广，等.达芬奇机器人与电视胸腔镜非小细胞肺癌术后慢性咳嗽危险因素分析及应对策略[J].中国胸心血管外科临床杂志，2020，27（11）：1274-1280.