摘要
目的分析超重对急性Stanford A型主动脉夹层患者术后并发症的影响。方法选取该院2021年1月至2022年12月收治的64例急性Stanford A型主动脉夹层且接受急诊手术治疗患者为研究对象。将研究对象按照体质量指数(BMI)分组,41例BMI≥24.0 kg/m2患者纳入超重组,23例BMI<24.0 kg/m2患者纳入非超重组。比较两组患者基本资料、围术期情况及术后基本情况。结果超重组体外循环时间明显长于非超重组,差异有统计学意义(P<0.05)。超重组与非超重组年龄,有高血压病史、糖尿病病史、吸烟史比例,停循环时间,手术输血量比较,差异无统计学意义(P>0.05)。超重组的住院时间、呼吸机使用时间、重症监护室停留时间、抗菌药物使用天数长于非超重组,低氧血症、肺部感染及切口愈合不良发生率均高于非超重组,差异有统计学意义(P<0.05)。两组病死率比较,差异无统计学意义(P>0.05)。结论急性Stanford A型主动脉夹层超重患者术后恢复时间延长,且术后早期并发症的发生率升高,未增加远期病死率。
Objective To analyze the effect of overweight on postoperative complications in patients with acute Stanford type A aortic dissection.Methods A total of 64 patients with acute Stanford type A aortic dissection who underwent emergency surgical treatment from January 2021 to December 2022 were selected as the study subjects.The subjects were grouped according to body mass index(BMI),41 cases with BMI≥24.0 kg/m2 were divided into overweight group and 23 cases with BMI<24.0 kg/m2 were divided into non-overweight group.The basic data,perioperative and postoperative conditions of the two groups were compared.Results The acardiopulmonary bypass time in overweight group was significantly longer than that in non-overweight group,the difference was statistically significant(P<0.05).There was no significant difference on age,proportions of history of hypertension,diabetes,smoking,time of stopping circulation,amount of surgical blood transfusion between the two groups(P>0.05).The hospital stay,ventilator use time,Intensive Care Unit stay time and antibiotic use days in overweight group were longer than those in non-overweight group,and the incidence rates of hypoxemia,pulmonary infection and poor wound healing were higher than those of in non-overweight group,the differences were statistically significant(P<0.05).There was no significant difference on mortality between the two groups(P>0.05).Conclusion The postoperative recovery time of overweight patients with acute Stanford type A aortic dissection prolongs,the incidence rate of early postoperative complications increase,the long-term mortality doesn't increase.
作者
杨少峰
张圣强
沈崇文
石宇
刁文杰
陈宏志
刘戈
施超
YANG Shaofeng;ZHANG Shengqiang;SHEN Chongwen;SHI Yu;DIAO Wenjie;CHEN Hongzhi;LIU Ge;SHI Chao(Department of Cardiac Surgery,the First Affiliated Hospital of Bengbu Medical College,Bengbu,Anhui 233000,China)
出处
《检验医学与临床》
CAS
2023年第22期3287-3289,3296,共4页
Laboratory Medicine and Clinic
基金
安徽省科技攻关项目(1804h08020280)
蚌埠医学院自然科学项目(2021byzd117)
安徽高校自然科学研究重点项目(KJ2021A0820、2022AH051531)。
