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| The effect of balloon blowing on postoperative pulmonary complications in gastric cancer patients |
| WANG Sujun, LI Jiang, CHEN Xiaolei. |
| Department of Gastrointestinal Surgery, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325015, China |
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| Cite this article: |
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WANG Sujun,LI Jiang,CHEN Xiaolei.. The effect of balloon blowing on postoperative pulmonary complications in gastric cancer patients[J]. JOURNAL OF WEZHOU MEDICAL UNIVERSITY, 2021, 51(3): 192-196.
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Abstract Objective: To study the correlation between preoperative cardiopulmonary exercise and postoperative pulmonary complications in patients with gastric cancer, so as to explore effective and feasible preoperative intervention measures for patients with gastric cancer. Methods: A total of 928 gastric cancer patients who underwent an operation in the First Affiliated Hospital of Wenzhou Medical University from July 2014 to February 2019 were selected. They were divided as intervention group (386 cases) and control group (542 cases) depending whether preoperative cardiopulmonary function exercise was performed. The clinicopathological characteristics of the patients and the occurrence of short-term postoperative complications were retrospective collected. Chi square test and multivariate logistic regression was used to analyze and identify independent risk factors for pulmonary complications. Results: There were significant differences in gender, TNM staging composition and postoperative complications (grade II above) between the intervention group and the control group (P<0.05), while no statistical differences were shown in other general information such as age, BMI, complications, NRS-2002 score, tumor location, and preoperative anemia (P>0.05), indicating that the data between the two groups were comparable. The incidence of respiratory complications in the intervention group was significantly lower than that in the control group (7.77% vs. 14.39%, P=0.001), and the incidence of pleural effusion (4.40% vs. 8.67%, P=0.004) and pulmonary infection (3.89% vs. 7.56%, P=0.032) showed the similar result. Multivariate logistic analysis suggested that the incidence of pulmonary complications in patients who did not perform preoperative pulmonary function exercise was twice as high as that in the exercise group (OR=2.161, 95%CI=1.371-3.407, P=0.001). Conclusion: Preoperative cardiopulmonary function exercises such as balloon blowing can effectively reduce the incidence of postoperative pulmonary complications and improve the short-term prognosis of the patients.
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Received: 07 April 2020
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