本文選題：血管腔內(nèi)修復(fù)術(shù) + 并發(fā)癥　； 參考：《復(fù)旦學(xué)報(bào)(醫(yī)學(xué)版)》2017年02期

【摘要】：目的分析血管腔內(nèi)修復(fù)術(shù)患者的術(shù)后并發(fā)癥,篩選出相關(guān)術(shù)前危險(xiǎn)因素,為促進(jìn)患者術(shù)后康復(fù)提供參考。方法回顧性分析復(fù)旦大學(xué)附屬中山醫(yī)院血管外科2013年1月至2014年12月收治的2 896例擇期血管腔內(nèi)修復(fù)術(shù)患者的臨床資料,篩選與手術(shù)后各種并發(fā)癥相關(guān)的術(shù)前危險(xiǎn)因素。結(jié)果共148例患者發(fā)生了術(shù)后并發(fā)癥,包括住院期間2例死亡。年齡75歲的患者,術(shù)前合并高血壓病、糖尿病、腎功能不全、慢性阻塞性肺病(chronic obstructive pulmonary disease,COPD)病史的患者和ASA分級(jí)Ⅱ級(jí)的患者并發(fā)癥發(fā)生率分別為9.7%、8.1%、14.3%、8.0%、29.7%和6.3%。多因素Logistic回歸分析顯示:年齡75歲,術(shù)前合并高血壓病、糖尿病、腎功能不全、COPD病史和ASA分級(jí)Ⅱ級(jí)均是血管外科腔內(nèi)修復(fù)術(shù)后并發(fā)癥的獨(dú)立危險(xiǎn)因素,優(yōu)勢(shì)比(odds ratio,OR)分別為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)。結(jié)論年齡75歲,術(shù)前合并高血壓病、糖尿病、腎功能不全、COPD病史和ASA分級(jí)大于Ⅱ級(jí)均是血管腔內(nèi)修復(fù)術(shù)后并發(fā)癥的獨(dú)立危險(xiǎn)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，

本文編號(hào)：1891671