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《Chinese Journal of Practical Surgery》 2004-03
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Clinical study on postoperative pulmonary complication after abdominal surgical operation

Ge Chunlin, Wan g Xiaosong, Sun Shu, et al.Second Department of General Surgery,First Affiliated Hospital, China Medical University, Shenyang 110001, China  
ObjectiveTo study the incentive spirometry (IS) in prevent ing postoper ative pulmonary complications (PPC).MethodsThe data of 302 patients ex periencing abdominal operations collected from 1999 to 2002 in our department we re studied. P atients were assigned randomly into two groups according to gender, age and oper ation sites. In treatment group, IS was used from the 3rd day before operation to the 3rd after operation. The incidences of postoperative pulmonary complicat ions wer e compared.ResultsThirty-eight out of 302 had PPC, the incide nce being 12 58%. In upper abdo minal operations, the incidence was 14 29% and in lower abdominal operat io ns,the incidence was 5 26%. The incidence of PPC was significantly increased in patients with age over 60, smoking history , abnormal pulmonary function,being 17 16%, 20 25% and 20 59%, respective ly. In tr eatment group, the PPC incidence of upper abdominal operations was lower, but th ere was no statistical significance. While IS treatment significantly reduced th e PPC occurrence in patients with advanced age, smoking and original pulmonary dise ases. ConclusionIS can reduce PPC in upper abdomin al operations. Fo r those high-risk patients with advanced age, smoking history and original pulm onary diseases, the application of IS is of much importance in preventing PPC.
【CateGory Index】: R656
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