成人体外循环下心脏手术后围术期并发症的相关因素分析-海南医学.PDFVIP

doi:10.3969/j.issn.1003-6350.2014.21.1238 ·论 著· 成人体外循环下心脏手术后围术期并发症的相关因素分析 耿玉六，张保友，李 安，王腾飞 (皖北煤电集团总医院心胸外科，安徽 宿州 234000) 【摘要】 目的 探讨成人患者体外循环下心脏手术围术期并发症发生的相关因素。方法 收集120例成人 患者行体外循环下心脏手术的临床资料，采用单因素分析、多因素Logistic 回归分析与围术期并发症发生的相关 影响因素。结果 (1)患者手术死亡率为1.7% (2/120)，并发症发生率为31.7% (38/120) ；(2)发生与未发生并发症 两组患者在术前吸烟、伴发高血糖、体外循环时间≥2 h 、主动脉阻断时间≥90 min、输血量≥2 000 ml 共5 项指标 比较差异均有统计学意义(P0.05) ；(3)多因素Logistic 回归分析显示，术前吸烟、伴发高血糖、体外循环时间≥ 2 h 、输血量≥2 000 ml 是围术期发生并发症的危险因素(OR1 ，P0.05) 。结论 患者术前吸烟、伴发高血糖、术中 体外循环时间≥2 h 以及输血量≥2 000 ml 是成人行体外循环下心脏手术围术期并发症发生的危险因素。 【关键词】 体外循环；心脏手术；围术期并发症；相关因素 【中图分类号】R654.1 【文献标识码】A 【文章编号】 1003—6350（2014 ）21—3153—04 Relatedfactorsforcomplicationsduringtheperioperativeperiodinadultpatientsaftercardiacsurgerywith extracorporealcirculation. GENGYu-liu,ZHANGBao-you,LIAn,WANGTeng-fei.DepartmentofCardiothoracic Surgery,GeneralHospitalofWanbeiCoalGroup,Suzhou234000,Anhui,CHINA 【Abstract】 Objective To explore the related factors for complications during the perioperative period in adult patients after cardiac surgery with extracorporeal circulation. Methods The clinical data of 120 adult patients undergo- ing cardiac surgery with extracorporeal circulation were collected. The related factors of complications during the peri- operative period were analyzed by univariate analysis and multivariate Logistic regression analysis. Results (1) The operative mortality rate was 1.7% (2/120), and the postoperative complication rate was 31.7% (38/120); (2) There were significant differences between the group with complications and the group without complications in smoking, hyperglycemia, time of