摘要
目的探讨心脏手术后早期低氧血症的危险因素。方法心脏病手术患者308例根据有无低氧血症分为发生低氧血症者(观察组)与未发生低氧血症者(对照组),分析手术后72h内发生低氧血症的因素,通过单因素分析筛选出危险因素后,采用Logistic多元回归分析进行多因素分析。结果低氧血症发生率为17.9%;Logistic回归分析结果显示,年龄、心脏病种类、手术时间、术后X线胸片检查阳性发现是低氧血症发病的独立危险因素。结论心脏病术后早期低氧血症与年龄、心脏病种类、手术时间、术后X线胸片检查结果密切相关,应采取相应措施预防和早期干预心脏病手术后早期低氧血症的发生。
Objective To study the risk factors of early hypoxemia following cardiac surgery. Methods A total of 308 cases of heart surgery were divided into the observation group and control group. The risk factors were deduced through analyzing factors for hypoxemia in the first 72 hours after surgery, then were investigated with logistic multiple regression analysis. Results The incidence of hypoxemia was 17. 9%. Logistic regression analysis results showed that the age, types of heart disease, operation time and postoperative chest X-ray examination results were independent risk factors for hypoxemia. Conclusion Early hypoxemia following cardiac surgery is closely correlated with the age, types of heart disease, operation time and post-operative chest X-ray examination results. Corresponding measures should be taken for its prevention.
出处
《中华实用诊断与治疗杂志》
2011年第11期1073-1074,共2页
Journal of Chinese Practical Diagnosis and Therapy
关键词
心脏病
手术
低氧血症
危险因素
Heart disease
surgery
hypoxemia
risk factors
