COPD, Lung Cancer, Post Operative Complication, Pulmonary
Conditions
Keywords
primary lung cancer patients
Brief summary
To test the hypothesis that nebulized Pulmicort Respules could reduce post operation pulmonary complication incidence in primary lung cancer patients with COPD. Compare post-operation pulmonary complication incidence in two treatment arms among primary lung cancer patients with COPD required single lobectomy from 3days before operation to 7 days after operation.
Interventions
To test the hypothesis that nebulizer Pulmicort Respules could reduce post operation pulmonary complication incidence in primary lung cancer patients with COPD. Compare post-operation pulmonary complication incidence in two arms among primary lung cancer patients with COPD required single lobectomy from 3 days before operation to 7 days after operation.
Sponsors
Study design
Eligibility
Inclusion criteria
1. Newly diagnosed or existing COPD defined by GOLD, and FEV1 of\<80% predicted and FEV1/FVC\<70% 2. Diagnosed as primary lung cancer by China guidelines on diagnosis and treatment of primary lung cancer 3. .Consistent with indication of operation of pulmonary single lobectomy surgery by China guidelines on diagnosis and treatment of primary lung cancer 4. General anesthesia and double cavity intubation was used during operation 5. ASA Classification of Anesthesia Risk is in category 1-3 both in baseline 6. age from 40-80 years old 7. Smoking cessation more than two weeks before operation 8. SP O2\>90% before surgery 9. Hemoglobin \> 10g/dl 10. Estimated duration of surgery \< 4 hours 11. 18.5\<BMI \< 28
Exclusion criteria
1. Patients who had taken systemic corticosteroids in the preceding 1month before baseline 2. Patients who had pneumonia in the preceding 1month before baseline 3. Patients with a history of recent myocardial infarction, heart failure, tuberculosis 4. Subject with known or suspected human immunodeficiency virus infection
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The incidence of post-operation pulmonary complication in two arms among primary lung cancer patients with COPD | 10 days | Definition of post-operation pulmonary complication: 1. Pneumonia/other pulmonary infections, with X-ray evidence, fever and/or WBC\>15,000mL 2. Sputum retention:classified as purulent and the pour ability grade is 1 or 2 3. Acute respiratory failture or chronic respiratory failture 4. Atelectasis 5. Aerothorax:\>30% by X-ray; pulmonary embolism |