《中国康复理论与实践》

《中国康复理论与实践》 ›› 2007, Vol. 13 ›› Issue (06): 566-567.

• 临床研究 • 上一篇    下一篇

胃肠道肿瘤术后心肺并发症的风险性分析

李进军1a; 伍冀湘1a; 时强1b   

  1. 1.首都医科大学附属北京安贞医院a.普通外科;b.心内科,北京市 100029
  • 收稿日期:2007-01-25 出版日期:2007-06-01 发布日期:2007-06-01

Analysis of Risk of Post-operative Cardiovascular or Pulmonary Complications in Patients with Gastrointestinal Tumor

LI Jin-jun,WU Ji-xiang, SHI Qiang   

  1. The Department of General Surgery, Beijing Anzhen Hospital, Beijing 100029, China
  • Received:2007-01-25 Published:2007-06-01 Online:2007-06-01

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被引次数

5

摘要： 目的探讨胃肠道肿瘤手术后心肺并发症的影响因素。方法回顾性分析352例胃肠道肿瘤手术患者的临床资料(分为心肺并发症组和无心肺并发症组),对比分析两组患者的年龄、性别、吸烟史、手术时间、肺功能指标、心电图、超声心动图7个相关因素,以及这些因素与术后心肺并发症的关系。结果352例患者中42例发生心肺并发症;心肺并发症组患者平均年龄(61.2±7.9)岁,手术时间(3.0±0.9)h;无心肺并发症组患者平均年龄(53.5±4.6)岁,手术时间(2.7±0.7)h,两组患者的差异有统计学意义(P<0.05)。术前FEV1%、FEV1/FVC%、MVV%、心功能异常者术后发生心肺并发症的危险性增加(P<0.05)。结论年龄、手术时间、心肺功能异常可能是胃肠道肿瘤手术患者发生术后心肺并发症的危险因素。

关键词: 胃肠道肿瘤, 心肺功能, 术后并发症, 危险因素

Abstract: Objective To investigate the risk factors of post-operative cardiovascular or pulmonary complications in patients with gastrointestinal tumor. MethodsThe data of 352 cases with gastrointestinal tumor were analyzed retrospectively. These patients were divided into the two groups based on with or without cardiovascular or pulmonary complications. Seven relative factors including the patients' age, sex, smoking, duration of surgery, pulmonary function, ECG, UCG, and relationship between these factors and the incidence of post-operative cardiovascular or pulmonary complications were analyzed.ResultsForty-two cases occourred cardiovascular or pulmonary complications in 352 patients. The mean age and surgery duration were (61.2±7.9) years and (3.0±0.9) hours in patients with cardiovascular or pulmonary complications, and (53.5±4.6) years and (2.7±0.7) hours in patients without cardiovascular or pulmonary complications respectively. There was a significant difference between the two groups ( P<0.05). The patients with abnormal FEV1%, FEV1/FVC%, MVV% and cardiac function before operation had higher risk for post-operative cardiopulmonary complications ( P<0.05).ConclusionAge, duration of surgery and cardiac and pulmonary dysfunction may be risk factors of cardiovascular or pulmonary complications after gastrointestinal surgery.

Key words: gastrointestinal tumor, cardiovascular or pulmonary function, post-operative complications, risk factor