冠状动脉旁路移植术后机械通气时间延长的危险因素分析
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江苏省卫生厅科技项目(HZ01036)


Analysis of risk factors leading prolonged mechanical ventilation following coronary artery bypass graft surgery
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    摘要:

    目的:分析冠状动脉旁路移植术后机械通气时间延长的危险因素,以提高冠状动脉旁路移植患者术后监护治疗水平-方法:回顾分析本院2010年170例冠状动脉搭桥手术患者的临床资料,筛选术后机械通气时间延长的危险因素并用Logistic回归分析评估各影响因素作用大小-结果:统计分析结果显示,高龄-手术前仍抽烟-术前左室射血分数(LVEF)-手术时间-术后引流量以及术后并发症的发生是术后机械通气时间延长的危险因素,并且术前LVEF-手术时间-术后引流量以及术后并发症影响显著-结论:加强健康宣传-重视术前心功能调节-缩短手术时间-减少术后出血量-重视围手术期脏器保护以减少术后心-脑-肾等脏器并发症的出现可缩短术后机械通气时间,改善医疗质量-

    Abstract:

    Objective: To analyze the risk factors of prolonged mechanical ventilation(PMV) after coronary artery bypass graft surgery(CABG) with the purpose of improving the management of these patients. Methods: The preoperative,operative and postoperative clinical data of 170 patients,who underwent CABG in 2010,were retrospectively analyzed for the risk factors of PMV. Binary Logistic regression models were used to assess the affection of factors. Results: Statistics show that the elder age,currently smoker,left ventricular ejection fraction(LVEF),duration of operation,volume of chest drainage and postoperative complications were risk factors of PMV,meanwhile LVEF,duration of operation,volume of chest drainage and postoperative had extremely affection. Conclusion:Greater importance should be attached to healthcare education,preoperative heart function regulation,lower duration of operation,reduce postoperative chest drainage and better preservation of organs during operation to decrease the rate of PMV and optimize the clinical quality.

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洪 亮,施乾坤,章 淬,穆心苇.冠状动脉旁路移植术后机械通气时间延长的危险因素分析[J].南京医科大学学报(自然科学版),2011,(11):1660-1662

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  • 收稿日期:2011-06-09
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