發(fā)布時間：2019-05-30 05:35

【摘要】：為了探討風濕性心臟病患者瓣膜置換術術前的臨床高危因素,本研究回顧性收集病歷資料完整的風濕性心臟病患者資料110例,按術后是否死亡分為觀察組(9例)和對照組(101例),觀察組患者術后1個月內(nèi)死亡,對照組患者手術治療效果良好,無死亡。以術前一般資料、并發(fā)癥、合并癥、超聲心動圖及瓣膜病變類型為分析指標,并運用卡方χ~2檢驗進行術前臨床危險因素的單因素分析,對單因素分析得出的術前臨床危險因素運用Logistic回歸法進行多因素分析。數(shù)據(jù)表明,病程≥15年、心功能Ⅲ級、ST-T改變、冠狀動脈病變、左室舒張末內(nèi)徑≥70 mm、左室后壁厚度≥10 mm以及二尖瓣+主動脈瓣+三尖瓣病變是風濕性心臟病患者瓣膜置換術術前的獨立高危因素(p均0.05)。由此可得出,風濕性心臟病瓣膜置換術術前的心功能狀態(tài)、疾病病程、瓣膜病變類型以及是否有合并冠狀動脈系統(tǒng)病變是術后早期致死的高危因素,術前應對這些指標進行明確診斷和積極的圍手術期處理,才能確保提升患者術后生存率,本研究為風濕性心臟病患者的臨床治療提供依據(jù)。
[Abstract]:In order to investigate the clinical high risk factors of valve replacement in patients with rheumatic heart disease, 110 patients with rheumatic heart disease were collected from 110 patients with rheumatic heart disease. According to the postoperative death, the patients in the observation group (9 cases) and the control group (101 cases) were divided into observation group (n = 9) and control group (n = 101). The patients in the observation group died within 1 month after operation. The preoperative general data, complications, echocardiography and valvular disease types were used as analytical indexes, and chi-square 蠂 ~ 2 test was used to analyze the clinical risk factors before operation. The preoperative clinical risk factors were analyzed by Logistic regression. The data showed that the course of disease 鈮，

本文編號：2488571