摘要
目的研究体质指数(BMI)对Stanford A型主动脉夹层患者手术治疗效果的影响。方法抽取2020年1月至2020年12月于河南省胸科医院行Stanford A型主动脉夹层手术治疗的患者153例。按照术前BMI将153例患者分为正常组(18.5 kg/m^(2)≤BMI<24.0 kg/m^(2),48例)、超重组(24.0 kg/m^(2)≤BMI<28.0 kg/m^(2),63例)和肥胖组(BMI≥28.0 kg/m^(2),42例)。比较三组呼吸机辅助时间、住院时间、心外科重症监护室(CCU)时间、术后使用抗生素时间及术后并发症发生情况。结果正常组呼吸机辅助时间、住院时间、CCU时间、术后使用抗生素时间与超重组比较,差异未见统计学意义(P>0.05);肥胖组呼吸机辅助时间、住院时间、CCU时间、术后使用抗生素时间长于正常组和超重组(P<0.05)。正常组低氧血症、肺部感染、神经系统并发症、切口感染或延迟愈合发生率与超重组比较,差异未见统计学意义(P>0.05);肥胖组低氧血症、肺部感染、神经系统并发症、切口感染或延迟愈合发生率(45.24%,19/42;69.05%,29/42;57.14%,24/42;30.95%,13/42)高于正常组(22.92%,11/48;12.50%,6/48;22.92%,11/48;2.08%,1/48)和超重组(23.81%,15/63;25.40%,16/63;26.98%,17/63;7.94%,5/63),差异有统计学意义(P<0.05)。结论BMI与Stanford A型主动脉夹层手术治疗效果存在关联性,BMI≥28.0 kg/m^(2)的行Stanford A型主动脉夹层手术治疗患者呼吸机辅助时间、住院时间、CCU时间、术后使用抗生素时间较长,且低氧血症、肺部感染、神经系统的并发症发生率较高。
Objective To investigate the influence of body mass index(BMI)on efficacy of operation for Stanford type A aortic dissection.Methods A total of 153 patients who underwent Stanford type A aortic dissection surgery in Henan Provincial Chest Hospital from January 2020 to December 2020 were selected.According to the preoperative BMI,the 153 patients were divided into normal group(48 cases,18.5 kg/m^(2)≤BMI<24.0 kg/m^(2)),overweight group(63 cases,24.0 kg/m^(2)≤BMI<28.0 kg/m^(2)),and obese group(42 cases,BMI≥28.0 kg/m^(2)).The duration of ventilator assistance,hospital stay,cardiology intensive care unit(CCU)stay,duration of postoperative antibiotic administration,and postoperative complications were compared among the three groups.Results There were no significant differences in duration of ventilator assistance,hospital stay,CCU stay,duration of postoperative antibiotic administration between the normal group and the overweight group(P>0.05);while the duration of ventilator assistance,hospital stay,CCU stay,and duration of postoperative antibiotic administration in the obese group were longer than those in the normal group and the overweight group(P<0.05).There was no significant difference in the incidence of hypoxemia,pulmonary infection,neurological complications,and incision infection or delayed healing between the normal group and the overweight group(P>0.05).The incidence of hypoxemia(45.24%,19/42),pulmonary infection(69.05%,29/42),neurological complications(57.14%,24/42),incision infection or delayed healing(30.95%,13/42)in the obese group were higher than those in the normal group(22.92%,11/48;12.50%,6/48;22.92%,11/48;2.08%,1/48)and the overweight group(23.81%,15/63;25.40%,16/63;26.98%,17/63;7.94%,5/63),P<0.05.Conclusions BMI is associated with the efficacy of Stanford type A aortic dissection surgery.Patients with a BMI of≥28.0 kg/m^(2) who undergo Stanford type A aortic dissection surgery require longer duration of ventilator assistance,hospital stay,CCU stay and duration of postoperative antibiotic administration.And they have higher incidences of hypoxemia,pulmonary infection,and neurological complications.
作者
张雪亚
郭迎春
孟宪慧
Zhang Xueya;Guo Yingchun;Meng Xianhui(Department of Cardiology,Henan Provincial Chest Hospital,Chest Hospital of Zhengzhou University,Zhengzhou 450003,China;Department of Anesthesiology,Henan Provincial Chest Hospital,Chest Hospital of Zhengzhou University,Zhengzhou 450003,China)
出处
《中国实用医刊》
2023年第24期5-8,共4页
Chinese Journal of Practical Medicine
作者简介
通信作者:郭迎春,Email:15838074100@163.com。
