肺部手术患者围手术期咳嗽的研究进展

doi:10.20047/j.issn1673-7210.2023.20.13

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Abstract Cough is one of the common symptoms and complications of patients undergoing lung surgery, which often has a great impact on the recovery process and quality of life of patients after surgery. Early identification and management of the risk factors of perioperative cough in patients undergoing lung surgery are the basis of effective intervention strategies. At present, many clinical and basic studies at home and abroad have tried to put forward a systematic management plan for patients with cough during perioperative period, but the results are not satisfactory. Through searching the relevant literature reports of cough symptoms during the perioperative period of lung surgery in recent years, this article found that women, right lung cancer, difficult airway, acute cough, history of chronic obstructive pulmonary disease, mediastinal lymph node dissection, length of bronchial stump, anesthesia, postoperative pleural effusion, and bronchial kink are all related to the perioperative cough of lung surgery, and the conversion receptor potential cation channel subfamily V member 1 pathway may be its potential molecular mechanism. The management of perioperative cough during lung surgery includes drug treatment, lymph node residual cavity filling, intraoperative nerve monitoring, bronchial prosthesis placement, acupuncture, postoperative respiratory exercise, etc. These findings can provide reference for clinical early identification of high-risk patients with cough during the perioperative period of lung surgery, as well as the prevention and management of cough symptoms, and provide direction for further research.

Key words： Lung surgery Cough Risk factors Symptom management

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	YAN Tingzhi1 WU Di1 LIU Hongyu2 CHEN Jun1

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YAN Tingzhi1 WU Di1 LIU Hongyu2 CHEN Jun1. Research progress on perioperative cough in patients undergoing lung surgery[J]. 中国医药导报, 2023, 20(20): 65-68,76.

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https://www.yiyaodaobao.com.cn/EN/10.20047/j.issn1673-7210.2023.20.13 OR https://www.yiyaodaobao.com.cn/EN/Y2023/V20/I20/65

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