先天性室间隔缺损介入治疗术后近期疗效及影响预后的危险因素分析.docVIP

先天性室间隔缺损介入治疗术后近期危险因素分析 王正龙,*,姜黔峰,巩 亮 （遵义医学院附属医院 心血管内科 贵州 遵义 563003） 【摘要】目的 分析先天性室间隔缺损患者介入治疗术后近期的危险因素改善预后的可能途径.方法 2003年10月～2012年10月先天性室间隔缺损接受介入治疗患者的临床资料,采用多因素logistic回归分析筛选的危险因素.结果～～随访1月,院内和院外共死亡1例,病死率为0.21%Logistic单因素回归分析显示年龄体重手术时间麻醉方式室间隔缺损大小及是否合并其他心血管畸形是影响先天性室间隔缺损患者介入治疗术后发生MAE的危险因素多因素logistic回归分析年龄体重手术时间及合并其他心血管畸形影响先天性室间隔缺损患者介入治疗术后近期不良事件的独立危险因素.结论 先天性室间隔缺损患者介入治疗影响室间隔缺损患者经导管介入治疗术后预后的独立危险因素为年龄,体重,手术时间及合并心血管畸形先天性室间隔缺损患者【关键词】先天性;室间隔缺损;经导管介入治疗;危险因素 【中图分类号】R 54.1　Efficacy and risk factors of percutaneous exposure to congenital Ventricular septal defectventricular septal defect WANG Zheng-long, SHI Bei*,JIANG Qian-feng, GONG Liang (Department of Cardiology, the Affiliated Hospital of Zunyi Medical College, Guizhou Zunyi 563003) 【Abstract】Objective To find possible ways to improve the prognosis of patients with congenital Ventricular septal defect(VSD) to receive percutaneous exposure, efficacy and risk factors of these patients with congenital VSD is assessed.Methods The clinical data of 482 patients with congenital VSD to receive percutaneous exposure were collected, efficacy and risk factors of influence on prognosis were analyzed by using multivariate logistic regression analysis.Results With 1-month follow-up period, one case of 482 patients died, mortality was 0.21%;multivariate logistic regression analysis showed that independent risk factors of influence on prognosis of patients with congenital VSD to receive percutaneous exposure were : age, weight, time of operation and combined cardiovascular malformations.Conclusion It is positive for efficacy of transcatheter intervention treatment in patients with congenital ventricular septal defect (VSD) , Independent risk factors of influence on prognosis for the treatment of transcatheter intervention in patients with congenital ventricular septal defect (VSD) were: age, weight, duration of procedure, and combined cardiovascular malformations;Therefore, to improve prognosis of patients with congenital VSD to receive percu