心脏手术中左心耳结扎在预防术后房颤和脑血管意外中的作用

发布时间：2018-07-02 09:26

本文选题：房颤 + 脑卒中　；参考：《新疆医科大学》2015年硕士论文

【摘要】：目的：明确在心脏手术常规左心耳结扎是否会减少术后房颤及房颤相关的脑血管意外的风险。方法：经伦理委员会批准,从2012年1月1日到2014年6月30日期间,486例行心脏瓣膜置换手术的成年患者收集术前资料术后及术后随访的资料进行回顾性分析。结果：一共有486例患者进行了调查。左心耳未结扎的患者术后发生AF的概率是左心耳结扎术的1.8倍(95%CI,1.03-3.00),年龄大于60岁的患者术后发生AF的概率是年龄小于60岁的3.6倍(95%CI,1.83-7.13),左心耳未结扎组术后脑卒中的概率是左心耳结扎组的10.9(95%CI,2.68-44.55)。在左心耳结扎组术后出现脑血管并发症1列(0.7%),在非左心耳结扎组10例(2.9%),出现脑血管并发症(0.7%vs2.9%,p0.00)。结论：虽然术后房颤是心脏术后常见的并发症,常规结扎左心耳在术后的房颤和脑血管意外的发生率明显降低。
[Abstract]:Objective: to determine whether conventional left atrial appendage ligation in cardiac surgery reduces the risk of postoperative atrial fibrillation and cerebrovascular accidents associated with atrial fibrillation. Methods: from January 1, 2012 to June 30, 2014, the data of postoperative and postoperative follow-up of 486 patients undergoing cardiac valve replacement were retrospectively analyzed with the approval of the Ethics Committee. Results: a total of 486 patients were investigated. The incidence of AF in patients without left atrial appendage ligation was 1.8 times higher than that in left atrial appendage ligation (95 CI 1.03-3.00). The incidence of AF in patients over 60 years of age was 3.6 times higher than that in patients younger than 60 years (95CII 1.83-7.13). The incidence of postoperative stroke in patients without left atrial appendage ligation was 1.83-7.13. The rate of left atrial appendage ligation was 10.9 (95 CI 2.68-44.55). Cerebrovascular complications occurred in 1 column (0.7%) in the left atrial auricular ligation group, 10 cases (2.9%) in the non-left atrial appendage ligation group, and (0.7 vs 2.9%) in the non-left atrial appendage ligation group. Conclusion: although postoperative atrial fibrillation is a common complication after cardiac surgery, the incidence of atrial fibrillation and cerebrovascular accidents after conventional ligation of left atrial appendage is significantly reduced.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R654.2

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