胸腔镜下肺癌根治术后心脏并发症的影响因素分析  

Analysis of influencing factors on postoperative cardiac complications in patients undergoing thoracoscopic radical resection of lung cancer

作　　者：祝建华[1] Zhu Jianhua(People's Hospital of Rudong County,Nantong 226400,China)

机构地区：[1]如东县人民医院,江苏南通226400

出　　处：《中西医结合心血管病电子杂志》2023年第31期15-18,共4页Cardiovascular Disease Electronic Journal of Integrated Traditional Chinese and Western Medicine

摘　　要：目的分析胸腔镜下肺癌根治术后心脏并发症的影响因素。方法研究选取2020年1月至2023年1月如东县人民医院收治的56例胸腔镜下肺癌根治术患者,对比心脏并发症发生组和未发生组的各项资料,并应用Logistic回归分析患者心脏并发症的影响因素。结果56例患者中,心脏并发症的发生率为17.86%(10/56)。心脏并发症发生组患者与未发生组患者相比,年龄更大,手术时间更长,术中出血量更多,收缩压(SBP)、甘油三酯(TG)、血糖均更高,美国麻醉医师协会(ASA)分级为Ⅱ级、高脂血症病史和肺部感染例数均显著更多,血氧饱和度较低,差异有统计学意义(P<0.05)。多因素Logistic回归发现,高龄、手术时间长、ASA分级为Ⅱ级、肺部感染、术中出血量多、SBP水平高、TG水平高、空腹血糖(FBG)水平高、糖化血红蛋白(HbA1c)水平高、有高脂血症史、血氧饱和度(SpO2)水平低是胸腔镜肺癌根治术后患者合并心脏并发症的独立危险因素(P<0.05)。结论临床中应重视年龄、糖化血红蛋白、血脂指标等危险因素,采取预防措施,降低胸腔镜肺癌根治术患者术后心脏并发症的发生风险。Objective Analyse the influencing factors of cardiac complications after thoracoscopic radical resection of lung cancer.Methods The study selected 56 patients with thoracoscopic radical resection of lung cancer admitted to Rudong County People's Hospital from January 2020 to January 2023,compared the various data of the group with and without cardiac complications,and analyzed the influencing factors of cardiac complications in patients using logistic regression.Results Among 56 patients,the incidence of cardiac complications was 17.86%(10/56).Compared with the non occurring group,patients in the group with cardiac complications had bigger age,longer surgical time,more blood loss,higher systolic blood pressure,TG,and blood glucose,more cases of ASA gradeⅡ,a history of hyperlipidemia,and pulmonary infection,blood oxygen saturation decreased,and the difference was statistically significant(P<0.05).Multivariate logistic regression showed that advanced age,long operation time,ASAⅡgrade,lung infection,excessive intraoperative bleeding,high SBP level,high TG level,high FPG level,high HbA1c level,history of hyperlipidemia,and low SpO2 level were independent risk factors for cardiac complications after thoracoscopic radical lung cancer resection(P<0.05).Conclusion Risk factors such as age,glycosylated hemoglobin and blood lipid indexes should be paid attention to in clinical practice,and preventive measures should be taken to reduce the risk of cardiac complications in patients undergoing thoracoscopic radical lung cancer surgery.

关 键 词：胸腔镜下肺癌根治术 心脏并发症 影响因素 

分 类 号：R734.2[医药卫生—肿瘤]