血管腔内修复术患者术后并发症的术前危险因素分析

发布时间：2018-05-15 08:12

  本文选题：血管腔内修复术 + 并发症　； 参考：《复旦学报(医学版)》2017年02期

【摘要】：目的分析血管腔内修复术患者的术后并发症,筛选出相关术前危险因素,为促进患者术后康复提供参考。方法回顾性分析复旦大学附属中山医院血管外科2013年1月至2014年12月收治的2 896例择期血管腔内修复术患者的临床资料,筛选与手术后各种并发症相关的术前危险因素。结果共148例患者发生了术后并发症,包括住院期间2例死亡。年龄75岁的患者,术前合并高血压病、糖尿病、肾功能不全、慢性阻塞性肺病(chronic obstructive pulmonary disease,COPD)病史的患者和ASA分级Ⅱ级的患者并发症发生率分别为9.7%、8.1%、14.3%、8.0%、29.7%和6.3%。多因素Logistic回归分析显示:年龄75岁,术前合并高血压病、糖尿病、肾功能不全、COPD病史和ASA分级Ⅱ级均是血管外科腔内修复术后并发症的独立危险因素,优势比(odds ratio,OR)分别为43.29(95%CI:22.51~83.28,P=0.000)、3.822(95%CI:2.37~6.16,P=0.000)、1.714(95%CI:1.07~2.75,P=0.025)、2.692(95%CI:1.19~6.07,P=0.017)、7.158(95%CI:3.83~13.37,P=0.000)和27.77(95%CI:13.79~55.93,P=0.000)。结论年龄75岁,术前合并高血压病、糖尿病、肾功能不全、COPD病史和ASA分级大于Ⅱ级均是血管腔内修复术后并发症的独立危险因素。
[Abstract]:Objective to analyze the postoperative complications of patients undergoing endovascular repair and to screen out the relevant preoperative risk factors. Methods the clinical data of 2896 patients undergoing elective endovascular repair from January 2013 to December 2014 in Zhongshan Hospital affiliated to Fudan University were retrospectively analyzed. Results postoperative complications occurred in 148 patients, including 2 deaths during hospitalization. The incidence of complications in patients with preoperative history of hypertension, diabetes mellitus, renal insufficiency, chronic obstructive pulmonary disease (COPD) and ASA grade 鈪，

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