CT引导下经皮肺穿刺活检术后并发症的高危因素及护理干预对策

doi:10.20047/j.issn1673-7210.2022.32.37

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Abstract Objective To explore and analyze the high-risk factors of complications after CT-guided percutaneous lung aspiration biopsy and nursing intervention countermeasures. Methods From May 2018 to October 2021, the clinical data of 196 cases in Tangshan People's Hospital, Hebei Province was retrospectively analyzed. All patients underwent CT-guided percutaneous lung aspiration biopsy for the diagnosis of the disease, and those with postoperative complications were classified as the complication group (42 patients) and the non-complication group (154 patients). The success rate of puncture biopsy and the type of complications in patients were observed, and the high-risk factors affecting complications after CT-guided percutaneous lung puncture biopsy were analyzed. Results The success rate of one-time puncture biopsy in patients was 98.98%, the rate of two punctures was 1.02%, and the complication rate was 21.43%. The differences were statistically significant when comparing the combined COPD, lesion diameter, lesion distance from the chest wall, and puncture needle dwell time between the two groups (P ＜ 0.05). Multifactorial logistic regression analysis showed that combined chronic obstructive pulmonary disease, lesion diameter, lesion distance from the chest wall, and puncture needle dwell time were high risk factors for complications after CT-guided percutaneous lung aspiration biopsy (OR ＞ 1, P ＜ 0.05). Conclusion CT-guided percutaneous lung aspiration biopsy has a high success rate during operation; the high-risk factors of postoperative complications after CT-guided percutaneous lung aspiration biopsy include combined chronic obstructive pulmonary disease, lesion diameter, lesion distance from the chest wall, and puncture needle dwell time, and the analysis of the high-risk factors and the development of effective nursing interventions may reduce the adverse effects of postoperative complications on patients’ health.

Key words： CT guidance Lung biopsy Complications High-risk factors

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	SONG Yu1 CAI Limei2 LIU Jing1 TU Yanhui3 LIU Zhao1 HE Jingrui1

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SONG Yu1 CAI Limei2 LIU Jing1 TU Yanhui3 LIU Zhao1 HE Jingrui1. High risk factors for complications after CT-guided percutaneous lung aspiration biopsy and nursing intervention countermeasures[J]. 中国医药导报, 2022, 19(32): 159-163.

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https://www.yiyaodaobao.com.cn/EN/10.20047/j.issn1673-7210.2022.32.37 OR https://www.yiyaodaobao.com.cn/EN/Y2022/V19/I32/159

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