Preoperative Intervention Influence On COPD Patients For Pulmonary Complications In Abdominal Surgery

Background:With the growing aging society, abdominal surgery patients with COPD (Chronic Obstructive Pulmonary Disease) surgery is increasing. COPD patients with immune and stress capacity is low, the risk of surgery, postoperative complications, accounting for the40%of the entire postoperative complications, the occurrence of PPC affected by many factors such as age, site of surgery, anesthesia, operative time and COPD severity, incidence of preoperative patients with COPD PPC (Postoperative Pulmonary Complications) is20times normal, often caused by postoperative respiratory failure, wound dehiscence complications, severe mortality significantly increased. For perioperative patients with COPD how PPC prevention is no clear standards, lack of awareness of abdominal surgeon PPC the postoperative PPC rate is about30%. How to prevent occurrence of PPC cause our attention.Objective:To investigate through the management of perioperative respiratory system, reducing COPD patients PPC incidence.Methods:In this paper, the Second Affiliated Hospital of Dalian Medical University from January2007to February2013were perioperative patients with COPD cases were retrospectively analyzed, a comparative analysis of the treatment group and the control group, the incidence of PPC. Using SPSS software for data processing, data before and after treatment using paired t-test; count data comparison between group2test, select the test level a=0.05, P<0.05was considered statistically significant differences.Results:The treatment group had2cases of pneumonia, the incidence rate was7.6%(respiratory failure), respiratory failure3cases, incidence rate11.5%(no pulmonary atelectasis and pneumonia)(Table2). The control group of2cases of pulmonary atelectasis (incidence rate6.6%),6cases of pneumonia (20%),5cases of respiratory failure (16.6%). The control group including1postoperative atelectasis, pneumonia, respiratory failure in ICU ventilator therapy, patients in the two groups after treatment were cured, no death. Prompt diagnosis and intervention before operation to PPC is very important.Conclusion:To take comprehensive intervention effective on COPD patients before surgery, can reduce the incidence of complications, reduce hospitalization time, reduce the operation risk.