稳定性心绞痛患者经骨科关节置换术治疗致心血管意外的临床观察  

Clinical observation of cardiovascular accidents in patients with stable angina pectoris after joint replacement operation

作　　者：吴宇红[1] 郭念昆[1] 

机构地区：[1]新疆医科大学第六附属医院心内科,新疆乌鲁木齐830002

出　　处：《新疆医科大学学报》2009年第9期1265-1267,共3页Journal of Xinjiang Medical University

摘　　要：目的:探讨冠心病稳定性心绞痛患者行关节置换术后引起心血管意外的相关因素分析。方法:对112例患者的临床资料进行整理,用Logistic回归模型进行相关因素分析。结果:单因素分析显示心功能在2级以上、冠心病合并糖尿病、冠心病合并高血压、术后疼痛处理效果不好、冠心病患者合并肥胖对发生心血管意外的影响有统计学意义,多因素分析显示心功能在2级以上是行关节置换术后出现心血管意外的主要因素。结论:冠心病-稳定性心绞痛患者行关节置换术心功能在2级以上,术后出现心血管意外风险增加,在临床上应引起足够重视并行针对性治疗,以降低其发生率。Objective： To study the relative factors of cardiovascular accident in patients with stable angina pectoris after joint replacement operation. Methods： We have studied the relate factors by logistic regression model for 112 cases after collected their clinical data. Results： Single factor analysis showed that the unsatified pain management after operation in patients who with cardiac function lower than grade 2, coronary heart disease complicated with diabetes, or hypertension. And statistical significance of cardiovascular disorders was obtained in patients who has coronary heart disease complicated with obesity. And multiple factor oanalysis showed that the cardiac function which lower than grade 2 was the main factor of cardiovascular accident after joint replacement operation. Conclusion： If the patients who has coronary heart disease-stable angina pectoris, and with cardiac function lower than grade 2 will be taken the operation of joint replacement, the risk of cardiovascular accitent increases. So, in practice great attention should be paid and specific treatment should be done for those patients. So that we could reduce the incidence rate of cardiovascular accidents.

关 键 词：稳定性心绞痛 关节置换术 心血管意外 

分 类 号：R541.4[医药卫生—心血管疾病] R687.4[医药卫生—内科学]