FUERJIANKANGDAOKANVol.2No.15August20232023年8月第2卷第15期58·女性保健·胸腔镜肺叶切除术对老年女性原发性肺癌患者术后心肺功能、疼痛及并发症的影响王翰林南京医科大学附属南京医院南京市第一医院心胸外科，江苏南京210000[摘要]目的探讨胸腔镜肺叶切除术对老年女性原发性肺癌患者术后心肺功能、疼痛及并发症的影响。方法选择南京市第一医院2020年8月至2022年8月收治的60例老年女性原发性肺癌患者，根据不同的手术方式分为对照组（30例，传统开胸手术）和观察组（30例，胸腔镜肺叶切除术）。比较两组心肺功能、疼痛评分和并发症发生情况。结果治疗后观察组用力肺活量、第1秒用力呼气量、呼气峰值流速水平高于对照组（P<0.05）；观察组术后1、2、3d疼痛评分低于对照组（P<0.05）；观察组并发症总发生率低于对照组（P<0.05）。结论胸腔镜肺叶切除术治疗老年女性原发性肺癌，有助于恢复心肺功能，降低术后疼痛及并发症发生率。[关键词]胸腔镜肺叶切除术；心肺功能；疼痛评分；并发症[中图分类号]R734.2[文献标识码]A[文章编号]2097-115X（2023）15-0058-03Effectofthoracoscopicpulmonarylobectomyoncardiopulmonaryfunction,painandcomplicationsinelderlyfemalepatientswithprimarylungcanceraftersurgeryWANGHanlinDepartmentofCardiothoracicSurgery,NanjingHospitalAffiliatedtoNanjingMedicalUniversity,NanjingFirstHospital,JiangsuProvince,Nanjing210000,Chian[Abstract]ObjectiveToinvestigatetheeffectofthoracoscopicpulmonarylobectomyoncardiopulmonaryfunction,painandcomplicationsinelderlyfemalepatientswithprimarylungcanceraftersurgery.MethodsAtotalof60elderlyfemalepatientswithprimarylungcanceradmittedtoNanjingFirstHospitalfromAugust2020toAugust2022wereselected.Accordingtodifferentsurgicalmethods,theyweredividedintothecontrolgroup(30cases,traditionalthoracotomy)andtheobservationgroup(30cases,thoracoscopicpulmonarylobectomy).Thecardiopulmonaryfunction,painscoreandcomplicationsofthetwogroupswerecompared.ResultsAftertreatment,thelevelsofforcedvitalcapacity,forcedexpiratoryvolumeinonesecondandpeakexpiratoryflowintheobservationgroupwerehigherthanthoseinthecontrolgroup(P<0.05).Thepainscoresoftheobservationgroupwerelowerthanthoseofthecontrolgroupat1,2and3daysaftersur...
