登楼梯耐力试验在术前评估80岁以上胆道病人心肺功能的作用

Role of Stair-climbing Test in Preoperative Prediction of Cardiopulmonary Functions in Elder Patients with Biliary Diseases

目的:评价登楼梯耐力试验在术前评估80岁以上胆道病人心肺功能的作用。方法:对126例80岁以上胆道疾病患者术前采用登楼梯耐力试验测定,分析登楼梯耐力试验与术后心肺并发症的关系,并对这些患者的临床资料进行回顾性分析。结果:80岁以上胆道病人登楼梯耐力试验高度与术后发生心肺并发症的风险一致,具有显著性差异。结论:登楼梯耐力试验测定和调查是术前评估80岁以上胆道病人心肺功能和死亡风险的一种有效而简单易行的方法。

Objective To assess the role of stair-climbing test in predicting preoperative cardiopulmonary functions in elderly patients with biliary diseases. Methods One hundred and 26 patients （aged 80 and over） with biliary diseases who underwent operations were reviewed retrospectively. All patients had performed preoperative stair-climbing test. The relationship of stair-climbing test and postoperative cardiopulmonary complications were analyzed. Results The height of stair-climbing test is a significant independent predictors of postoperative cardiopulmonary complications. Conclusion A stair climbing test is an effective and simple method in evaluating the cardiopulmonary function and predicting post-operative cardiopulmonary complications in elderly patients with biliary diseases.